| Southwest Georgia Healthcare Clinic | |
|
219 S Wiley Ave Donalsonville GA 39845 | |
| (229) 524-2232 | |
| (229) 524-8766 |
| Full Name | Southwest Georgia Healthcare Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 219 S Wiley Ave, Donalsonville, Georgia |
| Authorized Official Name and Position | Donna L Williams (CEO) |
| Authorized Official Contact | 2295241307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Georgia Healthcare Clinic 205 Bresee St Donalsonville GA 39845-1134 Ph: (229) 524-1307 | Southwest Georgia Healthcare Clinic 219 S Wiley Ave Donalsonville GA 39845 Ph: (229) 524-2232 |
| NPI Number | 1649918152 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 9739457896 |
|---|---|
| Medicare Enrollment ID | O20230417003002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649918152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
The Wiregrass Medical & Surgical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 N Wiley Ave, Donalsonville, GA 39845 Phone: 229-524-2706 Fax: 229-524-1272 | |
Southwest Georgia Healthcare Clinics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Marianna Hwy, Donalsonville, GA 39845 Phone: 229-524-1307 Fax: 229-524-6268 | |
Southwest Georgia Healthcare Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 N Wiley Ave, Donalsonville, GA 39845 Phone: 229-524-2808 Fax: 229-524-1272 |