| Careatc Gea Roper | |
|
1507 Broomtown Rd La Fayette GA 30728-3407 | |
| (706) 638-3559 | |
| Not Available |
| Full Name | Careatc Gea Roper |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1507 Broomtown Rd, La Fayette, Georgia |
| Authorized Official Name and Position | Kelly Bender (SR. DIRECTOR, DATA AND ANALYTICS) |
| Authorized Official Contact | 9187797475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careatc Gea Roper 4500 S 129th East Ave Ste 191 Tulsa OK 74134-5891 | Careatc Gea Roper 1507 Broomtown Rd La Fayette GA 30728-3407 Ph: (706) 638-3559 |
| NPI Number | 1144041666 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144041666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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