| |
1012 Ga Highway 247 S Ste 102 Kathleen GA 31047-2349 | |
(478) 987-1261 | |
(478) 218-0839 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1012 Ga Highway 247 S Ste 102, Kathleen, Georgia |
Authorized Official Name and Position | Jonathon Green (COO) |
Authorized Official Contact | 4787830200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1297 Hawkinsville GA 31036-7297 Ph: (478) 783-0200 | 1012 Ga Highway 247 S Ste 102 Kathleen GA 31047-2349 Ph: (478) 987-1261 |
NPI Number | 1144571449 |
---|---|
Provider Enumeration Date | 09/26/2012 |
Last Update Date | 03/29/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144571449 | NPI | - | NPPES |
Quincy Jordan Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 South Houston Lake Rd, #902, Kathleen, GA 31047 Phone: 877-610-2791 |