Tri-county Clinic, Inc. | |
551 N Cherokee Rd Social Circle GA 30025-2887 | |
(770) 464-4434 | |
(770) 464-4424 |
Full Name | Tri-county Clinic, Inc. |
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Speciality | Family Medicine |
Location | 551 N Cherokee Rd, Social Circle, Georgia |
Authorized Official Name and Position | Jan M Bennett (OWNER) |
Authorized Official Contact | 7704644434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tri-county Clinic, Inc. 551 N Cherokee Rd Social Circle GA 30025-2887 Ph: (770) 464-4434 | Tri-county Clinic, Inc. 551 N Cherokee Rd Social Circle GA 30025-2887 Ph: (770) 464-4434 |
NPI Number | 1801093497 |
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Provider Enumeration Date | 06/28/2007 |
Last Update Date | 05/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801093497 | NPI | - | NPPES |
000366638K | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | GA030580 (Georgia) | Primary |