Patient 1st Health & Wellness Associates, Llc | |
504 Gordon Ave Thomasville GA 31792-6646 | |
(229) 236-6601 | |
Not Available |
Full Name | Patient 1st Health & Wellness Associates, Llc |
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Speciality | Family Medicine |
Location | 504 Gordon Ave, Thomasville, Georgia |
Authorized Official Name and Position | Kimberly E Pickens (OWNER) |
Authorized Official Contact | 8164826004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patient 1st Health & Wellness Associates, Llc 15125 U.s. Hwy 19 S Pmb 380 Thomasville GA 31792 Ph: (229) 236-6601 | Patient 1st Health & Wellness Associates, Llc 504 Gordon Ave Thomasville GA 31792-6646 Ph: (229) 236-6601 |
NPI Number | 1760046593 |
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Provider Enumeration Date | 04/26/2019 |
Last Update Date | 09/07/2020 |
Medicare PECOS PAC ID | 5193054278 |
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Medicare Enrollment ID | O20190916001659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760046593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Kimberly Pickens |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437478047 PECOS PAC ID: 0941449821 Enrollment ID: I20130626000053 |
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