| Randolph Medical Associates Shellman | |
|
206 West Railroad Street Shellman GA 39886-5003 | |
| (229) 679-5579 | |
| (229) 679-5584 |
| Full Name | Randolph Medical Associates Shellman |
|---|---|
| Speciality | Clinic/center |
| Location | 206 West Railroad Street, Shellman, Georgia |
| Authorized Official Name and Position | Kim Gilman (CEO) |
| Authorized Official Contact | 2292091242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Medical Associates Shellman 206 West Railroad Street Shellman GA 39886-5003 Ph: (229) 679-5579 | Randolph Medical Associates Shellman 206 West Railroad Street Shellman GA 39886-5003 Ph: (229) 679-5579 |
| NPI Number | 1629041421 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629041421 | NPI | - | NPPES |
| 614225598A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Georgia) | Primary |
Kjh Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 67 W Railroad St, Shellman, GA 39886 Phone: 229-679-2100 Fax: 229-679-2010 | |
Shellman Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 W Railroad St, Shellman, GA 39886 Phone: 229-883-1314 |