| Primecare | |
|
541 Historic Hwy 441 N Demorest GA 30535-4528 | |
| (706) 754-2273 | |
| (706) 754-7300 |
| Full Name | Primecare |
|---|---|
| Speciality | Family Medicine |
| Location | 541 Historic Hwy 441 N, Demorest, Georgia |
| Authorized Official Name and Position | James A Peterson (SR. VP OF FINANCE) |
| Authorized Official Contact | 7067543113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare 396 Historic Highway 441 N Demorest GA 30535 Ph: (706) 754-2273 | Primecare 541 Historic Hwy 441 N Demorest GA 30535-4528 Ph: (706) 754-2273 |
| NPI Number | 1346373180 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 03/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346373180 | NPI | - | NPPES |
| 11D0944659 | Other | GA | CLIA # |
| 231 | Other | GA | COVENANT ADMINISTRATORS # |
| 2466081 | Other | GA | PHOENIX HOME LIFE |
| 0930 | Other | GA | HEALTHSTAR PROVIDER # |
| DA0733 | Other | GA | RAILROAD MCR PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4705360 (Georgia) | Primary |
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