| Wayne Obstetrics And Gynecology | |
|
371 Peachtree St Jesup GA 31545-0245 | |
| (912) 530-7301 | |
| (912) 530-7302 |
| Full Name | Wayne Obstetrics And Gynecology |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 371 Peachtree St, Jesup, Georgia |
| Authorized Official Name and Position | Antonia Brooke Harris (EXECUTIVE OFFICE MANAGER) |
| Authorized Official Contact | 9125307301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Obstetrics And Gynecology Po Box 604 Jesup GA 31598-0604 Ph: (912) 530-7301 | Wayne Obstetrics And Gynecology 371 Peachtree St Jesup GA 31545-0245 Ph: (912) 530-7301 |
| NPI Number | 1285696112 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 11/01/2011 |
| Medicare PECOS PAC ID | 1254361397 |
|---|---|
| Medicare Enrollment ID | O20050817001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285696112 | NPI | - | NPPES |
| 301000006A | Medicaid | GA | |
| 000815889C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 024255 (Georgia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 024255 (Georgia) | Primary |
| Provider Name | Jeffrey Lee Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801850094 PECOS PAC ID: 3173599164 Enrollment ID: I20040910000099 |
Lentz Urgent Care & Family Med, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 182 Sunset Blvd, Jesup, GA 31545 Phone: 912-385-2102 Fax: 912-385-2180 | |
Headley Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S 1st St, Jesup, GA 31545 Phone: 912-427-7400 Fax: 912-385-2953 | |
Wayne Family Practice Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Peachtree St, Jesup, GA 31545 Phone: 912-427-6964 Fax: 912-427-0591 | |
Golden Isles Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 S 1st St, Jesup, GA 31545 Phone: 912-427-8031 Fax: 912-427-8032 | |
Internal Medicine Of Southeast Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 351 Peachtree St, Jesup, GA 31545 Phone: 912-530-6582 Fax: 912-530-6584 | |
Peach Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 S Brunswick St, Jesup, GA 31546 Phone: 912-385-2755 Fax: 912-385-2785 | |
Winnie Claire Hicks Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Memorial Dr, Jesup, GA 31545 Phone: 912-588-2511 Fax: 912-588-2518 |