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511 Gilliken St Twin City GA 30471 | |
(478) 763-3036 | |
(478) 763-3787 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 511 Gilliken St, Twin City, Georgia |
Authorized Official Name and Position | H D Cannington (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 4782891100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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117 Kite Rd Swainsboro GA 30401-3231 Ph: (478) 289-1100 | 511 Gilliken St Twin City GA 30471 Ph: (478) 763-3036 |
NPI Number | 1134119936 |
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Provider Enumeration Date | 10/24/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1134119936 | NPI | - | NPPES |
00000701D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |