| Dr R Mcewan Pc | |
|
160 Juniper Court Suite 101 Brunswick GA 31520 | |
| (912) 265-6711 | |
| (912) 265-6713 |
| Full Name | Dr R Mcewan Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 160 Juniper Court, Brunswick, Georgia |
| Authorized Official Name and Position | Richard P Mcewan (PRESIDENT) |
| Authorized Official Contact | 9122656711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr R Mcewan Pc 160 Juniper Court Suite 101 Brunswick GA 31520 Ph: (912) 265-6711 | Dr R Mcewan Pc 160 Juniper Court Suite 101 Brunswick GA 31520 Ph: (912) 265-6711 |
| NPI Number | 1538265764 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 07/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538265764 | NPI | - | NPPES |
| 00516018A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 035688 (Georgia) | Primary |
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