| East Georgia Urgent Care | |
|
4451 Country Club Rd Suite 3a Statesboro GA 30459 | |
| (912) 764-2273 | |
| Not Available |
| Full Name | East Georgia Urgent Care |
|---|---|
| Speciality | Family Medicine |
| Location | 4451 Country Club Rd, Statesboro, Georgia |
| Authorized Official Name and Position | Robert M Benson (PHYSICAN) |
| Authorized Official Contact | 9127642273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Georgia Urgent Care Po Box 1989 Statesboro GA 30459-1989 Ph: () - | East Georgia Urgent Care 4451 Country Club Rd Suite 3a Statesboro GA 30459 Ph: (912) 764-2273 |
| NPI Number | 1003011693 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1850323023 |
|---|---|
| Medicare Enrollment ID | O20050908000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003011693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert M Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013921428 PECOS PAC ID: 7810950821 Enrollment ID: I20041110000997 |
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