Samuel L. Church, Md, Pc | |
85 Seasons Lane Hiawassee GA 30546 | |
(706) 896-0505 | |
(866) 796-2502 |
Full Name | Samuel L. Church, Md, Pc |
---|---|
Speciality | Family Medicine |
Location | 85 Seasons Lane, Hiawassee, Georgia |
Authorized Official Name and Position | Samuel L Church (OWNER) |
Authorized Official Contact | 7068960505 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Samuel L. Church, Md, Pc P.o. Box 1217 Hiawassee GA 30546-1217 Ph: (706) 896-0505 | Samuel L. Church, Md, Pc 85 Seasons Lane Hiawassee GA 30546 Ph: (706) 896-0505 |
NPI Number | 1023153244 |
---|---|
Provider Enumeration Date | 02/21/2007 |
Last Update Date | 02/29/2016 |
Medicare PECOS PAC ID | 2668455007 |
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Medicare Enrollment ID | O20040608001076 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023153244 | NPI | - | NPPES |
000901271D | Medicaid | GA | |
89066J3 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 048990 (Georgia) | Primary |
305R00000X | Preferred Provider Organization | 048990 (Georgia) | Secondary |
Provider Name | Samuel L Church |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053398149 PECOS PAC ID: 9234238783 Enrollment ID: I20101110001252 |
Holly A. Berndt, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Church St, Hiawassee, GA 30546 Phone: 706-896-4673 Fax: 706-896-3992 | |
Health In Harmony Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Chatuge Cir, Hiawassee, GA 30546 Phone: 706-896-9442 Fax: 706-896-1246 | |
Chatuge Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Church St, Hiawassee, GA 30546 Phone: 706-896-4673 Fax: 706-896-3992 | |
Hiawassee Family Practice P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56 Hospital St, Hiawassee, GA 30546 Phone: 706-896-2289 Fax: 706-896-6007 | |
D. Bryan Johnson, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Church St, Hiawassee, GA 30546 Phone: 706-896-4673 Fax: 706-896-6034 | |
Chatuge Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Church St Ste A, Hiawassee, GA 30546 Phone: 706-896-4673 |