| Physicians' Health Group | |
|
1067 Peachtree St Louisville GA 30434-1558 | |
| (478) 625-7000 | |
| (478) 625-8907 |
| Full Name | Physicians' Health Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1067 Peachtree St, Louisville, Georgia |
| Authorized Official Name and Position | Jessica Guy (ASSISTANT ADMINISTRATOR) |
| Authorized Official Contact | 4786257000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians' Health Group 1067 Peachtree St Louisville GA 30434 Ph: (478) 625-7000 | Physicians' Health Group 1067 Peachtree St Louisville GA 30434-1558 Ph: (478) 625-7000 |
| NPI Number | 1215943915 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 7214823046 |
|---|---|
| Medicare Enrollment ID | O20071207000887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215943915 | NPI | - | NPPES |
| 000001031B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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