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222 Perry Hwy Bldg A, Ste 104 Hawkinsville GA 31036-6748 | |
(478) 783-2273 | |
(478) 783-2272 |
Full Name | |
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Speciality | Clinic/Center |
Location | 222 Perry Hwy Bldg A, Ste 104, Hawkinsville, Georgia |
Authorized Official Name and Position | Ann Rycroft (CREDENTIALING) |
Authorized Official Contact | 4787830299 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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, Ste 104 Hawkinsville GA 31036-6748 Ph: (478) 783-2273 |
NPI Number | 1568713873 |
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Provider Enumeration Date | 09/26/2012 |
Last Update Date | 05/13/2022 |
Medicare PECOS PAC ID | 6800795154 |
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Medicare Enrollment ID | O20200311002858 |
Identifier | Type | State | Issuer |
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1568713873 | NPI | - | NPPES |
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 |