Southerncare Family Medicine, P.c. | |
111 A Laurel Creek Rd Calhoun GA 30701 | |
(706) 624-1001 | |
Not Available |
Full Name | Southerncare Family Medicine, P.c. |
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Speciality | Family Medicine |
Location | 111 A Laurel Creek Rd, Calhoun, Georgia |
Authorized Official Name and Position | Loren C. King (CEO) |
Authorized Official Contact | 7066241001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southerncare Family Medicine, P.c. Po Box 1029 Calhoun GA 30703-1029 Ph: (706) 624-1001 | Southerncare Family Medicine, P.c. 111 A Laurel Creek Rd Calhoun GA 30701 Ph: (706) 624-1001 |
NPI Number | 1003822891 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9638105836 |
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Medicare Enrollment ID | O20050711000291 |
Identifier | Type | State | Issuer |
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1003822891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Loren C King |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780734202 PECOS PAC ID: 6800822008 Enrollment ID: I20050711000310 |
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