| R Gary Branch, MD | |
|
10 Doctors Street, Metter, GA 30439 | |
| (912) 685-5715 | |
| (912) 685-3737 |
| Full Name | R Gary Branch |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10 Doctors Street, Metter, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568482644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 030272 (Georgia) | Primary |
| Entity Name | Sjc Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811233828 PECOS PAC ID: 7719978105 Enrollment ID: O20040524000690 |
| Mailing Address | Practice Location Address |
|---|---|
| R Gary Branch, MD 602 E 72nd St, Savannah, GA 31405-4913 Ph: (912) 819-7800 | R Gary Branch, MD 10 Doctors Street, Metter, GA 30439 Ph: (912) 685-5715 |
Jason Andrew Glow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors St, Metter, GA 30439 Phone: 912-685-5715 | |
Joshua James Wickstrom, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380a Cedar St, Metter, GA 30439 Phone: 800-827-6536 | |
Dr. Floyd A Soriano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 S Leroy St, Metter, GA 30439 Phone: 912-685-4040 Fax: 912-685-4041 | |
Dr. Shenique Anderson Wesley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Cedar St, Metter, GA 30439 Phone: 912-685-5741 | |
Dr. Loy D Cowart Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors St, Metter, GA 30439 Phone: 912-685-5715 | |
John Dorsey Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors Street, Metter, GA 30439 Phone: 912-685-5715 Fax: 912-685-3737 |