Quality Primary Care | |
1175 Mitchell Bridge Rd Athens GA 30606-6411 | |
(706) 534-4637 | |
Not Available |
Full Name | Quality Primary Care |
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Speciality | Family Medicine |
Location | 1175 Mitchell Bridge Rd, Athens, Georgia |
Authorized Official Name and Position | Amanda Gunter (NP/OWNER/PROVIDER) |
Authorized Official Contact | 7065344637 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Quality Primary Care 1175 Mitchell Bridge Rd Athens GA 30606-6411 Ph: () - | Quality Primary Care 1175 Mitchell Bridge Rd Athens GA 30606-6411 Ph: (706) 534-4637 |
NPI Number | 1124613815 |
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Provider Enumeration Date | 03/04/2021 |
Last Update Date | 08/03/2021 |
Medicare PECOS PAC ID | 9133525538 |
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Medicare Enrollment ID | O20210910000370 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124613815 | NPI | - | NPPES |
003190555H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Amanda Gunter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013336916 PECOS PAC ID: 5092027367 Enrollment ID: I20150630001796 |
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