| Coffee County High School | |
|
159 Trojan Way Douglas GA 31533-8263 | |
| (229) 468-9166 | |
| (229) 468-9188 |
| Full Name | Coffee County High School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 159 Trojan Way, Douglas, Georgia |
| Authorized Official Name and Position | Robert Bonds Tucker (CEO) |
| Authorized Official Contact | 2294689166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffee County High School Po Box 749 Ocilla GA 31774-0749 Ph: (229) 468-9166 | Coffee County High School 159 Trojan Way Douglas GA 31533-8263 Ph: (229) 468-9166 |
| NPI Number | 1669085742 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669085742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Crh Cardiology Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-0600 Fax: 912-384-0601 | |
Coffee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Ste 224, Douglas, GA 31533 Phone: 912-384-2353 | |
Kids Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Shirley Ave, Ste B, Douglas, GA 31533 Phone: 912-384-2474 Fax: 912-384-4995 | |
Abigail Miller Family Medicine Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Shirley Ave, Douglas, GA 31533 Phone: 912-384-7300 | |
Douglas Medical Specialist Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-383-6365 | |
Crh Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Doctors Dr, Ste 101, Douglas, GA 31533 Phone: 912-389-1558 Fax: 912-389-1558 | |
Coffee Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Suite 224, Douglas, GA 31533 Phone: 912-384-2353 |