Sjc Medical Group - Pembroke | |
159 West Railroad St Pembroke GA 31321 | |
(912) 653-2897 | |
(912) 653-4299 |
Full Name | Sjc Medical Group - Pembroke |
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Speciality | Family Medicine |
Location | 159 West Railroad St, Pembroke, Georgia |
Authorized Official Name and Position | Paul P Hinchey (PRESIDENT CEO) |
Authorized Official Contact | 9128196901 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sjc Medical Group - Pembroke 602 E 72nd Street Savannah GA 31405 Ph: (912) 819-7878 | Sjc Medical Group - Pembroke 159 West Railroad St Pembroke GA 31321 Ph: (912) 653-2897 |
NPI Number | 1154349850 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 04/02/2014 |
Medicare PECOS PAC ID | 4082502430 |
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Medicare Enrollment ID | O20040308000488 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154349850 | NPI | - | NPPES |
2555 | Other | GA | GROUP MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Irwin G Streiff |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447220298 PECOS PAC ID: 3375732118 Enrollment ID: I20110111000239 |
Provider Name | Teresa U Cayton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366731234 PECOS PAC ID: 1254516024 Enrollment ID: I20110421000549 |
Community Primary & Urgent Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 Ledford Street, Pembroke, GA 31321 Phone: 912-653-4357 | |
Curtis V. Cooper Primary Health Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 244 Ledford Street, Pembroke, GA 31321 Phone: 912-527-1100 |