| Preferred Family Medicine Llc | |
|
1311 Ocilla Rd Douglas GA 31533-2213 | |
| (229) 425-3809 | |
| Not Available |
| Full Name | Preferred Family Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1311 Ocilla Rd, Douglas, Georgia |
| Authorized Official Name and Position | Michele G Walls (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9122789788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Family Medicine Llc 1311 Ocilla Rd Douglas GA 31533-2213 Ph: (229) 425-3809 | Preferred Family Medicine Llc 1311 Ocilla Rd Douglas GA 31533-2213 Ph: (229) 425-3809 |
| NPI Number | 1932890159 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/21/2023 |
| Medicare PECOS PAC ID | 2668833559 |
|---|---|
| Medicare Enrollment ID | O20230725000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932890159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Debra D Rathbun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972969160 PECOS PAC ID: 9436453735 Enrollment ID: I20160208000296 |
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