| Robert E Jennings Medical Clinic | |
|
103 Re Jennings Ave Se Arlington GA 39813-8725 | |
| (229) 725-4251 | |
| (229) 725-2212 |
| Full Name | Robert E Jennings Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 Re Jennings Ave Se, Arlington, Georgia |
| Authorized Official Name and Position | Robin A Rau (CEO) |
| Authorized Official Contact | 2297585954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Jennings Medical Clinic 209 N Cuthbert St Colquitt GA 39837-3518 Ph: (229) 758-4200 | Robert E Jennings Medical Clinic 103 Re Jennings Ave Se Arlington GA 39813-8725 Ph: (229) 725-4251 |
| NPI Number | 1235227752 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 0244224947 |
|---|---|
| Medicare Enrollment ID | O20130617000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235227752 | NPI | - | NPPES |
| 003140349A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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