| Camilla Medical Clinic | |
|
138 E Broad St Camilla GA 31730-1809 | |
| (229) 351-4125 | |
| Not Available |
| Full Name | Camilla Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 138 E Broad St, Camilla, Georgia |
| Authorized Official Name and Position | Kitty Beasley (GENERAL PARTNER) |
| Authorized Official Contact | 2293287593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camilla Medical Clinic 138 E Broad St Camilla GA 31730-1809 Ph: (229) 351-4125 | Camilla Medical Clinic 138 E Broad St Camilla GA 31730-1809 Ph: (229) 351-4125 |
| NPI Number | 1760005144 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 05/20/2020 |
| Medicare PECOS PAC ID | 2567886658 |
|---|---|
| Medicare Enrollment ID | O20200722001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760005144 | NPI | - | NPPES |
| XXX | Other | XXX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Winston C Connell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144370206 PECOS PAC ID: 2668572793 Enrollment ID: I20070703000039 |
| Provider Name | Kitty M Van Meter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902005358 PECOS PAC ID: 3274620935 Enrollment ID: I20071029000381 |
Phoebe Primary Care Of Camilla Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 Fax: 229-336-8260 | |
Camilla Family Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-1499 Fax: 229-336-1534 | |
The Camilla Pediatric Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-7472 Fax: 229-336-1661 | |
Health Professionals Of Mitchell County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 E Broad St, Camilla, GA 31730 Phone: 229-336-5259 Fax: 229-336-9433 | |
Albany Area Primary Heath Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Newton Rd, Camilla, GA 31730 Phone: 229-889-7393 Fax: 229-889-8494 | |
Mitchell County Pediatrics And Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 E Oakland Ave Ste A, Camilla, GA 31730 Phone: 229-449-6671 | |
Camilla Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24 N Ellis St, Camilla, GA 31730 Phone: 229-336-7343 Fax: 229-336-7400 |