| Crawford Family Medicine | |
|
106 Mccrary Ave Roberta GA 31078 | |
| (478) 836-2819 | |
| (478) 836-2823 |
| Full Name | Crawford Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 106 Mccrary Ave, Roberta, Georgia |
| Authorized Official Name and Position | Freddy N Gaton (PHYSICIAN/PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4788362819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crawford Family Medicine Po Box 1010 Roberta GA 31078-1010 Ph: (478) 836-2819 | Crawford Family Medicine 106 Mccrary Ave Roberta GA 31078 Ph: (478) 836-2819 |
| NPI Number | 1356505051 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 07/28/2008 |
| Medicare PECOS PAC ID | 7618129008 |
|---|---|
| Medicare Enrollment ID | O20121211000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356505051 | NPI | - | NPPES |
| 00665948B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 040386 (Georgia) | Primary |
| Provider Name | Freddy N Gaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003896416 PECOS PAC ID: 6204889884 Enrollment ID: I20051003000320 |
Careconnect Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 254 Wright Avenue, Roberta, GA 31078 Phone: 229-384-5576 Fax: 229-384-5527 |