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428 W Highland Ave Monroe GA 30655-1908 | |
(770) 267-2573 | |
(770) 267-6751 |
Full Name | |
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Speciality | Clinic/Center |
Location | 428 W Highland Ave, Monroe, Georgia |
Authorized Official Name and Position | James Wood (OWNER/PRESIDENT) |
Authorized Official Contact | 7702372573 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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428 W Highland Ave Monroe GA 30655-1908 Ph: (770) 267-2573 | 428 W Highland Ave Monroe GA 30655-1908 Ph: (770) 267-2573 |
NPI Number | 1053054031 |
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Provider Enumeration Date | 04/18/2022 |
Last Update Date | 07/31/2024 |
Medicare PECOS PAC ID | 9436506763 |
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Medicare Enrollment ID | O20240404003578 |
Identifier | Type | State | Issuer |
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1053054031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | James M Wood |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932283199 PECOS PAC ID: 7214003979 Enrollment ID: I20081013000569 |
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