Wingard Primary Care, Llc | |
510 Swanson Rd Tyrone GA 30290-6900 | |
(770) 964-5230 | |
(770) 964-5260 |
Full Name | Wingard Primary Care, Llc |
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Speciality | Family Medicine |
Location | 510 Swanson Rd, Tyrone, Georgia |
Authorized Official Name and Position | Ray B Bennett (DIRECTOR) |
Authorized Official Contact | 7706927575 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wingard Primary Care, Llc 1325 Commerce Dr Suite 200 Peachtree City GA 30269-3582 Ph: (770) 692-7575 | Wingard Primary Care, Llc 510 Swanson Rd Tyrone GA 30290-6900 Ph: (770) 964-5230 |
NPI Number | 1326387820 |
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Provider Enumeration Date | 02/05/2013 |
Last Update Date | 03/28/2024 |
Medicare PECOS PAC ID | 8426289828 |
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Medicare Enrollment ID | O20140328000575 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326387820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Georgia) | Primary |
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | 056526 (Georgia) | Secondary |
Provider Name | Ray Burnett Bennett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841317138 PECOS PAC ID: 7416915772 Enrollment ID: I20070430000325 |
Momentum Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Handley Rd, #400, Tyrone, GA 30290 Phone: 404-597-9523 | |
Genesys Family Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Handley Rd, Suite 410, Tyrone, GA 30290 Phone: 770-964-5810 Fax: 678-364-1216 | |
Trilogy Wingard Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Swanson Rd, Tyrone, GA 30290 Phone: 770-964-5230 Fax: 770-964-5260 | |
Jad Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Swanson Rd, Tyrone, GA 30290 Phone: 770-964-5230 Fax: 770-964-5260 | |
Pmc Long Term Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Greencastle Rd # 2, Tyrone, GA 30290 Phone: 770-487-7807 Fax: 770-487-7619 | |
Summit Health Primary And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290 Phone: 678-430-8478 |