| |
116 W Thigpen Ave Lakeland GA 31635-1011 | |
(229) 433-8440 | |
Not Available |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 116 W Thigpen Ave, Lakeland, Georgia |
Authorized Official Name and Position | Julie W Hodges (CONTROLLER) |
Authorized Official Contact | 2292594140 |
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 9 Valdosta GA 31603-0009 Ph: () - | 116 W Thigpen Ave Lakeland GA 31635-1011 Ph: (229) 433-8440 |
NPI Number | 1215703632 |
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Provider Enumeration Date | 11/27/2023 |
Last Update Date | 12/10/2024 |
Medicare PECOS PAC ID | 1052764677 |
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Medicare Enrollment ID | O20240131001327 |
Identifier | Type | State | Issuer |
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1215703632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
282NC0060X | General Acute Care Hospital - Critical Access | (* (Not Available)) | Primary |
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