| |
222 Perry Hwy Bldg A Hawkinsville GA 31036-6748 | |
(478) 783-4030 | |
(478) 892-8048 |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 222 Perry Hwy Bldg A, Hawkinsville, 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 |
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Po Box 1297 Hawkinsville GA 31036-7297 Ph: (478) 783-0200 | 222 Perry Hwy Bldg A Hawkinsville GA 31036-6748 Ph: (478) 783-4030 |
NPI Number | 1104177419 |
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Provider Enumeration Date | 09/26/2012 |
Last Update Date | 06/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104177419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
M. Keith Lewis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Industrial Blvd, Ste. 102, Hawkinsville, GA 31036 Phone: 478-783-2297 Fax: 478-783-2296 | |
Heart Of Georgia Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Industrial Blvd, Suite 102, Hawkinsville, GA 31036 Phone: 478-272-4544 Fax: 478-275-1306 |