| Prime Care Dahlonega Llc | |
|
400 Walmart Way Ste F Dahlonega GA 30533-0829 | |
| (706) 867-7666 | |
| Not Available |
| Full Name | Prime Care Dahlonega Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 Walmart Way Ste F, Dahlonega, Georgia |
| Authorized Official Name and Position | Lanie Welch (OWNER) |
| Authorized Official Contact | 9122451145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Dahlonega Llc Po Box 449 Vidalia GA 30475-0449 Ph: (912) 538-0640 | Prime Care Dahlonega Llc 400 Walmart Way Ste F Dahlonega GA 30533-0829 Ph: (706) 867-7666 |
| NPI Number | 1619442829 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 10/24/2022 |
| Medicare PECOS PAC ID | 3173868437 |
|---|---|
| Medicare Enrollment ID | O20181214002607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619442829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey Q Dowis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861620387 PECOS PAC ID: 3476702937 Enrollment ID: I20120927000615 |
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