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517 Great Oaks Dr Suite 102 Monroe GA 30655-8211 | |
(770) 267-6565 | |
(770) 267-1524 |
Full Name | |
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Speciality | Clinic/Center |
Location | 517 Great Oaks Dr, Monroe, Georgia |
Authorized Official Name and Position | Melissa Hendricks (OFFICE MANAGER) |
Authorized Official Contact | 7702676565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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517 Great Oaks Dr Suite 102 Monroe GA 30655-8211 Ph: (770) 267-6565 | 517 Great Oaks Dr Suite 102 Monroe GA 30655-8211 Ph: (770) 267-6565 |
NPI Number | 1598856833 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 01/20/2011 |
Medicare PECOS PAC ID | 0547323214 |
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Medicare Enrollment ID | O20090107000529 |
Identifier | Type | State | Issuer |
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1598856833 | NPI | - | NPPES |
000361237E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 026889 (Georgia) | Primary |
Provider Name | Sarah V Mcbee |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689758054 PECOS PAC ID: 7810050283 Enrollment ID: I20090112000161 |
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