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509 Wheat Ave Bainbridge GA 39819-4321 | |
(229) 416-4421 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 509 Wheat Ave, Bainbridge, Georgia |
Authorized Official Name and Position | Edwin James (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2297232660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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360 College St Blakely GA 39823-2554 Ph: (229) 723-2660 | 509 Wheat Ave Bainbridge GA 39819-4321 Ph: (229) 416-4421 |
NPI Number | 1821471277 |
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Provider Enumeration Date | 07/02/2015 |
Last Update Date | 07/02/2015 |
Medicare PECOS PAC ID | 5496777948 |
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Medicare Enrollment ID | O20150929002437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821471277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Blvd Dr, Bainbridge, GA 39819 Phone: 229-243-8000 Fax: 229-246-7026 | |
Aurora Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 E Shotwell St, Bainbridge, GA 39819 Phone: 229-234-6146 Fax: 229-207-4127 | |
J. Sydney Cochran,mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 E Evans St, Bainbridge, GA 39819 Phone: 229-246-6600 Fax: 229-246-9322 | |
Port City Family Medicine, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Wheat Ave, Bainbridge, GA 39819 Phone: 229-243-1045 |