Primary Care Of Southwest Georgia- Bainbridge | |
509 Wheat Ave Bainbridge GA 39819-4321 | |
(229) 416-4421 | |
Not Available |
Full Name | Primary Care Of Southwest Georgia- Bainbridge |
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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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Primary Care Of Southwest Georgia- Bainbridge 360 College St Blakely GA 39823-2554 Ph: (229) 723-2660 | Primary Care Of Southwest Georgia- Bainbridge 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 |
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