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199 Southland Rd Americus GA 31709-5242 | |
| (229) 438-5864 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 199 Southland Rd, Americus, Georgia |
| Authorized Official Name and Position | Rose A Palazzolo (SECRETARY) |
| Authorized Official Contact | 2294385864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 72105 Albany GA 31708-2105 Ph: (229) 438-5864 | 199 Southland Rd Americus GA 31709-5242 Ph: (229) 438-5864 |
| NPI Number | 1477883064 |
|---|---|
| Provider Enumeration Date | 01/05/2010 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477883064 | NPI | - | NPPES |
| CD9679 | Other | GA | RR MEDICARE |
| 2907 | Other | GA | MEDICARE GROUP |
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