| Tattnall Medical Group-cobbtown | |
|
36671 Hwy. 23 Cobbtown GA 30420 | |
| (912) 684-3692 | |
| (912) 684-3695 |
| Full Name | Tattnall Medical Group-cobbtown |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 36671 Hwy. 23, Cobbtown, Georgia |
| Authorized Official Name and Position | Joseph A Lewis (CFO) |
| Authorized Official Contact | 9125571000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tattnall Medical Group-cobbtown 36671 Hwy. 23 Cobbtown GA 30420 Ph: (912) 684-3692 | Tattnall Medical Group-cobbtown 36671 Hwy. 23 Cobbtown GA 30420 Ph: (912) 684-3692 |
| NPI Number | 1952416901 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952416901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Optim Primary Care - Cobbtown Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 36671 Hwy 23, Cobbtown, GA 30420 Phone: 912-557-1000 |