| South Georgia Medical Services | |
|
380 N Church St Homerville GA 31634-2452 | |
| (912) 487-1737 | |
| (912) 487-1739 |
| Full Name | South Georgia Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 380 N Church St, Homerville, Georgia |
| Authorized Official Name and Position | Charles A Semones (OWNER) |
| Authorized Official Contact | 9124871737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Georgia Medical Services 380 N Church St Homerville GA 31634-2452 Ph: (912) 487-1737 | South Georgia Medical Services 380 N Church St Homerville GA 31634-2452 Ph: (912) 487-1737 |
| NPI Number | 1720524580 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Medicare PECOS PAC ID | 8426334889 |
|---|---|
| Medicare Enrollment ID | O20170419001559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720524580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles Semones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639110687 PECOS PAC ID: 3476542143 Enrollment ID: I20041122000173 |
| Provider Name | Betsy D Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063961522 PECOS PAC ID: 3678850872 Enrollment ID: I20170425002125 |
Roger W Huelsnitz Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Huxford St, Homerville, GA 31634 Phone: 912-487-1737 Fax: 912-487-1739 | |
Balaji Medical Practice, Llc Dba Clinch Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Courtland Ave, Homerville, GA 31634 Phone: 912-487-5053 | |
Clinch County Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Huxford St, Homerville, GA 31634 Phone: 912-487-5211 | |
Samuel B Cobarrubias Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 Carswell St, Homerville, GA 31634 Phone: 912-487-1654 | |
Suwannee River Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 W Forest Ave, Homerville, GA 31634 Phone: 912-487-1737 Fax: 912-487-1739 | |
Clinch Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Courtland Ave, Homerville, GA 31634 Phone: 912-487-5053 |