Primary Care Of Southwest Georgia- Quitman | |
907 N Court St Quitman GA 31643-1315 | |
(229) 263-4531 | |
(229) 263-5787 |
Full Name | Primary Care Of Southwest Georgia- Quitman |
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Speciality | Clinic/Center |
Location | 907 N Court St, Quitman, Georgia |
Authorized Official Name and Position | Edwin James (CFO) |
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- Quitman 360 College St Blakely GA 39823-2554 Ph: (229) 723-2660 | Primary Care Of Southwest Georgia- Quitman 907 N Court St Quitman GA 31643-1315 Ph: (229) 263-4531 |
NPI Number | 1790223352 |
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Provider Enumeration Date | 02/03/2017 |
Last Update Date | 02/03/2017 |
Medicare PECOS PAC ID | 5496777948 |
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Medicare Enrollment ID | O20170515001757 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790223352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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