| Southwest Ga Primary Care, Llc | |
|
93 S Broad St Ellaville GA 31806-0989 | |
| (229) 410-9965 | |
| (229) 937-9007 |
| Full Name | Southwest Ga Primary Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 93 S Broad St, Ellaville, Georgia |
| Authorized Official Name and Position | Linda P Hamsley (OWNER) |
| Authorized Official Contact | 2294109965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Ga Primary Care, Llc Po Box 989 Ellaville GA 31806-0989 Ph: (229) 410-9965 | Southwest Ga Primary Care, Llc 93 S Broad St Ellaville GA 31806-0989 Ph: (229) 410-9965 |
| NPI Number | 1629400312 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629400312 | NPI | - | NPPES |
| 000506437G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 33367 (Georgia) | Primary |
Phoebe Sumter Ellaville Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 339 S Broad St, Ellaville, GA 31806 Phone: 229-937-5321 Fax: 229-937-2232 | |
Ellaville Primary Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 S Broad St, Ellaville, GA 31806 Phone: 229-937-5321 Fax: 229-937-2232 | |
Careconnect Convenient Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 East Oglethorpe Street, Ellaville, GA 31806 Phone: 229-937-9003 Fax: 229-937-9007 | |
Ellaville Primary Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 S. Broad St., Ellaville, GA 31806 Phone: 229-937-5321 Fax: 229-937-2232 |