| Rochelle Healthcare Clinic | |
|
636 Second Avenue, Sw Rochelle GA 31079 | |
| (229) 365-2570 | |
| (229) 365-2571 |
| Full Name | Rochelle Healthcare Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 636 Second Avenue, Sw, Rochelle, Georgia |
| Authorized Official Name and Position | James Miller (DIRECTOR PHYSICIAN PRACTICES) |
| Authorized Official Contact | 2292714676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochelle Healthcare Clinic 636 Second Avenue, Sw Rochelle GA 31079 Ph: (229) 365-2570 | Rochelle Healthcare Clinic 636 Second Avenue, Sw Rochelle GA 31079 Ph: (229) 365-2570 |
| NPI Number | 1902013048 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902013048 | NPI | - | NPPES |
| 00000514H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Georgia) | Primary |
Careconnect Family Practice And Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 636 2nd Avenue, Sw, Rochelle, GA 31079 Phone: 229-365-2570 Fax: 229-365-2571 |