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64a Jones Mill Rd Woodbury GA 30293-2678 | |
(706) 553-5367 | |
(706) 553-5370 |
Full Name | |
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Speciality | Clinic/Center |
Location | 64a Jones Mill Rd, Woodbury, Georgia |
Authorized Official Name and Position | Karen Daniel (CEO) |
Authorized Official Contact | 7066553331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5995 Spring St Warm Springs GA 31830-2149 Ph: (706) 655-3331 | 64a Jones Mill Rd Woodbury GA 30293-2678 Ph: (706) 553-5367 |
NPI Number | 1912564618 |
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Provider Enumeration Date | 05/29/2019 |
Last Update Date | 07/08/2019 |
Medicare PECOS PAC ID | 1850430679 |
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Medicare Enrollment ID | O20190821001849 |
Identifier | Type | State | Issuer |
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1912564618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southwest Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Jones Mill Road, Suite B Box 517, Woodbury, GA 30293 Phone: 706-553-3270 |