| Premier Family Medicine & Urgent Care Clinic Inc. | |
|
1315 Delauney Ave 201 A Columbus GA 31901-2367 | |
| (706) 507-3747 | |
| (706) 507-3638 |
| Full Name | Premier Family Medicine & Urgent Care Clinic Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1315 Delauney Ave, Columbus, Georgia |
| Authorized Official Name and Position | Megbewe Godpower Okoroba (CEO) |
| Authorized Official Contact | 6465287117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Medicine & Urgent Care Clinic Inc. 1315 Delauney Ave 201a Columbus GA 31901-2367 Ph: (706) 507-3747 | Premier Family Medicine & Urgent Care Clinic Inc. 1315 Delauney Ave 201 A Columbus GA 31901-2367 Ph: (706) 507-3747 |
| NPI Number | 1104178409 |
|---|---|
| Provider Enumeration Date | 10/10/2012 |
| Last Update Date | 10/10/2012 |
| Medicare PECOS PAC ID | 1658524350 |
|---|---|
| Medicare Enrollment ID | O20130108000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104178409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 63508 (Georgia) | Primary |
| Provider Name | Megbewe G Okoroba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437233947 PECOS PAC ID: 8729269170 Enrollment ID: I20110218000321 |
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