| Southeast Georgia Gastroenterology Pc | |
|
2003 Pioneer St # A Waycross GA 31501-6249 | |
| (912) 284-1210 | |
| Not Available |
| Full Name | Southeast Georgia Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2003 Pioneer St # A, Waycross, Georgia |
| Authorized Official Name and Position | Ahmad Irfan (PRESIDENT) |
| Authorized Official Contact | 9122841210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Georgia Gastroenterology Pc 2003 Pioneer St # A Waycross GA 31501-6249 Ph: (912) 284-1210 | Southeast Georgia Gastroenterology Pc 2003 Pioneer St # A Waycross GA 31501-6249 Ph: (912) 284-1210 |
| NPI Number | 1891912713 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9133158314 |
|---|---|
| Medicare Enrollment ID | O20050808001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891912713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 041584 (Georgia) | Primary |
| Provider Name | Ahmad Irfan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932209962 PECOS PAC ID: 1951368620 Enrollment ID: I20041214000744 |
David H. Cheatham, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beacon St, Waycross, GA 31501 Phone: 912-285-2440 Fax: 912-287-0197 | |
Southeast Georgia Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 | |
Peter Wrobel Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 Old Reynolds St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1360 | |
Thornton Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Stephenson St, Waycross, GA 31501 Phone: 912-283-6043 Fax: 912-283-6043 | |
Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
Packer Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Knight Ave, Waycross, GA 31501 Phone: 912-283-2311 Fax: 912-283-8204 | |
Satilla Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W Oneida St, Waycross, GA 31501 Phone: 912-338-0065 Fax: 912-338-0920 |