T. Aaron Buice, M.d., P.c. | |
102 Swatts St Barnesville GA 30204-1610 | |
(770) 872-3663 | |
(770) 872-3665 |
Full Name | T. Aaron Buice, M.d., P.c. |
---|---|
Speciality | Family Medicine |
Location | 102 Swatts St, Barnesville, Georgia |
Authorized Official Name and Position | Thomas Aaron Buice (OWNER) |
Authorized Official Contact | 7708723663 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
T. Aaron Buice, M.d., P.c. 102 Swatts St Barnesville GA 30204-1610 Ph: (770) 872-3663 | T. Aaron Buice, M.d., P.c. 102 Swatts St Barnesville GA 30204-1610 Ph: (770) 872-3663 |
NPI Number | 1013107465 |
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Provider Enumeration Date | 07/31/2007 |
Last Update Date | 01/04/2010 |
Medicare PECOS PAC ID | 5698745859 |
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Medicare Enrollment ID | O20040727000812 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013107465 | NPI | - | NPPES |
000962255B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 051758 (Georgia) | Primary |
Provider Name | Thomas Aaron Buice |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194754648 PECOS PAC ID: 2668442823 Enrollment ID: I20040803000721 |
Provider Name | Tracey L Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508071515 PECOS PAC ID: 1052645108 Enrollment ID: I20190625000409 |
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