| Bohler Family Practice Pc | |
|
128 North Parker Ave Brooklet GA 30415 | |
| (912) 842-2101 | |
| (921) 842-2103 |
| Full Name | Bohler Family Practice Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 128 North Parker Ave, Brooklet, Georgia |
| Authorized Official Name and Position | William Scott Bohlke (PRESIDENT) |
| Authorized Official Contact | 9128422101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bohler Family Practice Pc Po Box 487 Brooklet GA 30415-0487 Ph: (912) 842-2101 | Bohler Family Practice Pc 128 North Parker Ave Brooklet GA 30415 Ph: (912) 842-2101 |
| NPI Number | 1811049679 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811049679 | NPI | - | NPPES |
| 085002953G | Medicaid | GA | |
| 00593557D | Medicaid | GA | |
| 648007516A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |