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107 E Railroad St Pulaski GA 30451 | |
(912) 685-1802 | |
(912) 685-1803 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 107 E Railroad St, Pulaski, Georgia |
Authorized Official Name and Position | Willuck William Bennett (CFO) |
Authorized Official Contact | 9126851769 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 597 Metter GA 30439-0597 Ph: (912) 685-5715 | 107 E Railroad St Pulaski GA 30451 Ph: (912) 685-1802 |
NPI Number | 1316523707 |
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Provider Enumeration Date | 03/24/2021 |
Last Update Date | 01/16/2025 |
Identifier | Type | State | Issuer |
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1316523707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |