Southwest Georgia Center Of Medicine, Llc | |
915 Elmo St Americus GA 31709-3710 | |
(229) 389-2038 | |
(229) 924-9899 |
Full Name | Southwest Georgia Center Of Medicine, Llc |
---|---|
Speciality | Family Medicine |
Location | 915 Elmo St, Americus, Georgia |
Authorized Official Name and Position | Eric N Codner (OWNER) |
Authorized Official Contact | 2293892038 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Southwest Georgia Center Of Medicine, Llc 915 Elmo St Americus GA 31709-3710 Ph: (229) 389-2038 | Southwest Georgia Center Of Medicine, Llc 915 Elmo St Americus GA 31709-3710 Ph: (229) 389-2038 |
NPI Number | 1730418021 |
---|---|
Provider Enumeration Date | 12/15/2009 |
Last Update Date | 04/22/2014 |
Medicare PECOS PAC ID | 4880729045 |
---|---|
Medicare Enrollment ID | O20100930022795 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730418021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 029865 (Georgia) | Primary |
Sumter Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 280 W, Americus, GA 31719 Phone: 229-931-1159 Fax: 229-931-1160 | |
Sumter Family Medicine & Sports Medicine Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 E Jefferson St, Suite B, Americus, GA 31709 Phone: 229-924-2383 Fax: 229-924-0684 | |
Sumter Orthopedic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 280 W, Americus, GA 31719 Phone: 229-931-1159 Fax: 229-931-1160 | |
Sumter Specialty Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Highway 280 W, Americus, GA 31719 Phone: 229-931-1159 Fax: 229-931-1160 |