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3345 Us Highway 84 Ste 102 Blackshear GA 31516-2160 | |
| (912) 705-4910 | |
| (912) 705-4911 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3345 Us Highway 84 Ste 102, Blackshear, Georgia |
| Authorized Official Name and Position | Randall Terry Crawford (CEO) |
| Authorized Official Contact | 9123679841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2070 Baxley GA 31515-2070 Ph: (912) 367-9841 | 3345 Us Highway 84 Ste 102 Blackshear GA 31516-2160 Ph: (912) 705-4910 |
| NPI Number | 1548828676 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548828676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mckinney Community Health Ctr, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 Sycamore St, Blackshear, GA 31516 Phone: 912-449-3294 Fax: 912-287-1568 | |
B Well Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3343 Us Highway 84 Ste 103, Blackshear, GA 31516 Phone: 912-807-9355 Fax: 912-514-1222 |