| |
400 Canterbury Dr Wrens GA 30833-4072 | |
(478) 625-7000 | |
(478) 625-8907 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 400 Canterbury Dr, Wrens, Georgia |
Authorized Official Name and Position | Jessica Guy (ASSISTANT ADMINISTRATOR) |
Authorized Official Contact | 4786257000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
400 Canterbury Dr Wrens GA 30833-4072 Ph: (478) 625-7000 | 400 Canterbury Dr Wrens GA 30833-4072 Ph: (478) 625-7000 |
NPI Number | 1801801543 |
---|---|
Provider Enumeration Date | 07/30/2006 |
Last Update Date | 09/22/2020 |
Medicare PECOS PAC ID | 7214823046 |
---|---|
Medicare Enrollment ID | O20071207000901 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801801543 | NPI | - | NPPES |
000001031E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wrens Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Broad St, Wrens, GA 30833 Phone: 706-547-2559 Fax: 706-547-0729 | |