Southwell Medical Ashburn Primary Care | |
611 E Washington Ave Ashburn GA 31714-5315 | |
(229) 567-3407 | |
(229) 567-4467 |
Full Name | Southwell Medical Ashburn Primary Care |
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Speciality | Clinic/Center |
Location | 611 E Washington Ave, Ashburn, Georgia |
Authorized Official Name and Position | Christopher Dorman (PRESIDENT/CEO) |
Authorized Official Contact | 2293536104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southwell Medical Ashburn Primary Care Po Box 2650 Tifton GA 31793-2650 Ph: (229) 353-3422 | Southwell Medical Ashburn Primary Care 611 E Washington Ave Ashburn GA 31714-5315 Ph: (229) 567-3407 |
NPI Number | 1063042562 |
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Provider Enumeration Date | 01/23/2020 |
Last Update Date | 06/24/2022 |
Medicare PECOS PAC ID | 2062745169 |
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Medicare Enrollment ID | O20200615003501 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063042562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Phoebe Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-3361 | |
Asa Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 E Washington Ave, Ashburn, GA 31714 Phone: 229-484-2300 | |
Careconnect Family Practice And Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 317 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-4414 Fax: 229-567-4419 | |
Chl Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 E Washington Ave, Ashburn, GA 31714 Phone: 229-778-9216 |