| South Houston Internal Medicine | |
|
1018 Keith Dr Suite A Perry GA 31069 | |
| (478) 987-7444 | |
| (478) 987-7422 |
| Full Name | South Houston Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1018 Keith Dr, Perry, Georgia |
| Authorized Official Name and Position | Joseph Stephen Lomboy (OWNER) |
| Authorized Official Contact | 4789877444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Houston Internal Medicine 1018 Keith Dr Ste A Perry GA 31069-2947 Ph: (478) 987-7444 | South Houston Internal Medicine 1018 Keith Dr Suite A Perry GA 31069 Ph: (478) 987-7444 |
| NPI Number | 1619089653 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/11/2010 |
| Medicare PECOS PAC ID | 1850398306 |
|---|---|
| Medicare Enrollment ID | O20061026000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619089653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 047921 (Georgia) | Primary |
| Provider Name | Joseph S Lomboy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215974100 PECOS PAC ID: 1759388200 Enrollment ID: I20061026000275 |
| Provider Name | Marietta Olaivar Lomboy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699786327 PECOS PAC ID: 3375454101 Enrollment ID: I20061026000288 |
| Provider Name | Teresa S Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275060295 PECOS PAC ID: 8820357288 Enrollment ID: I20180111000932 |
Perry Internal Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013 Main St, Perry, GA 31069 Phone: 478-988-0022 Fax: 478-987-0444 | |
Perry Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 Wes Park Drive, Perry, GA 31069 Phone: 478-987-2578 Fax: 478-987-2598 | |
Houston Primary Care Associates P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1019 Keith Dr, Suite A, Perry, GA 31069 Phone: 478-987-2556 | |
Middle Georgia Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1115 Morningside Dr, Perry, GA 31069 Phone: 478-988-3060 Fax: 478-988-3098 | |
Jonathan Velasquez, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 Morningside Dr, Suite A, Perry, GA 31069 Phone: 478-224-3322 Fax: 478-224-3325 | |
Capstone Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 Keith Dr, Perry, GA 31069 Phone: 478-988-1100 Fax: 478-988-8211 | |
Idsa, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1118 Morningside Dr Ste B, Perry, GA 31069 Phone: 478-396-8783 |