Washington Internal Medicine Llc | |
22 W Robert Toombs Ave Washington GA 30673-1662 | |
(706) 678-4785 | |
Not Available |
Full Name | Washington Internal Medicine Llc |
---|---|
Speciality | Internal Medicine |
Location | 22 W Robert Toombs Ave, Washington, Georgia |
Authorized Official Name and Position | Kirkland T Dodson (CEO) |
Authorized Official Contact | 7066784785 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Washington Internal Medicine Llc Po Box 26040 Macon GA 31221-6040 Ph: (478) 475-1299 | Washington Internal Medicine Llc 22 W Robert Toombs Ave Washington GA 30673-1662 Ph: (706) 678-4785 |
NPI Number | 1346409927 |
---|---|
Provider Enumeration Date | 06/09/2008 |
Last Update Date | 10/28/2009 |
Medicare PECOS PAC ID | 7618049727 |
---|---|
Medicare Enrollment ID | O20080707000720 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346409927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 040656 (Georgia) | Primary |
Provider Name | Kirkland T Dodson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689745960 PECOS PAC ID: 4587556956 Enrollment ID: I20040329001333 |
Community Medical Associates Of Washington Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 Hospital Dr, Washington, GA 30673 Phone: 706-678-6944 Fax: 706-678-6945 | |
David T. Kirk And Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Hospital Dr., Washington, GA 30673 Phone: 706-678-2323 Fax: 706-678-4437 |