| Community Primary Care Of Georgia Llc | |
|
165 S Broad St Butler GA 31006-5526 | |
| (478) 862-2220 | |
| Not Available |
| Full Name | Community Primary Care Of Georgia Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 165 S Broad St, Butler, Georgia |
| Authorized Official Name and Position | Charles Kemp (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 4044010225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Primary Care Of Georgia Llc 4080 Mcginnis Ferry Rd Suite 804 Alpharetta GA 30005-3948 Ph: (404) 401-0225 | Community Primary Care Of Georgia Llc 165 S Broad St Butler GA 31006-5526 Ph: (478) 862-2220 |
| NPI Number | 1730430968 |
|---|---|
| Provider Enumeration Date | 09/27/2012 |
| Last Update Date | 09/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730430968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Careconnect Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 W Main St, Butler, GA 31006 Phone: 478-862-5453 Fax: 478-862-5454 | |
Macon County Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 West Main Street, Ste B, Butler, GA 31006 Phone: 478-862-3879 | |
Decker Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 S Broad St, Butler, GA 31006 Phone: 478-837-7121 Fax: 478-837-7020 |