| Porter Family Medical Clinic | |
|
124 Victory Dr Swainsboro GA 30401-3235 | |
| (478) 237-5506 | |
| Not Available |
| Full Name | Porter Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 Victory Dr, Swainsboro, Georgia |
| Authorized Official Name and Position | Steve King (CFO) |
| Authorized Official Contact | 4782891376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Porter Family Medical Clinic Po Box 879 117 Kite Road Swainsboro GA 30401-0879 Ph: () - | Porter Family Medical Clinic 124 Victory Dr Swainsboro GA 30401-3235 Ph: (478) 237-5506 |
| NPI Number | 1538586243 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 09/23/2015 |
| Medicare PECOS PAC ID | 3577473040 |
|---|---|
| Medicare Enrollment ID | O20150325002433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538586243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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