| Physicians Health Group Wadley | |
|
152 North Main Street Wadley GA 30477-1178 | |
| (478) 625-7000 | |
| (478) 625-8907 |
| Full Name | Physicians Health Group Wadley |
|---|---|
| Speciality | Clinic/Center |
| Location | 152 North Main Street, Wadley, 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 Wadley 152 North Main Street Po Box 1178 Wadley GA 30477-1178 Ph: (478) 625-7000 | Physicians Health Group Wadley 152 North Main Street Wadley GA 30477-1178 Ph: (478) 625-7000 |
| NPI Number | 1699782037 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 7214823046 |
|---|---|
| Medicare Enrollment ID | O20071207000820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699782037 | NPI | - | NPPES |
| 000001031D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
East Georgia Healthcare Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 257 N Main St, Wadley, GA 30477 Phone: 478-252-0027 |