| Effingham Family Medicine At Port Wentworth | |
|
7306 Ga Highway 21 Ste 105 Port Wentworth GA 31407-9275 | |
| (912) 966-2575 | |
| (912) 966-0906 |
| Full Name | Effingham Family Medicine At Port Wentworth |
|---|---|
| Speciality | Clinic/center |
| Location | 7306 Ga Highway 21, Port Wentworth, Georgia |
| Authorized Official Name and Position | Francine Baker-witt (INTERIM CEO) |
| Authorized Official Contact | 9127540142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Effingham Family Medicine At Port Wentworth 459 Highway 119 South Attn.: Alia Allen/medical Staff Office Springfield GA 31329 Ph: (912) 754-0175 | Effingham Family Medicine At Port Wentworth 7306 Ga Highway 21 Ste 105 Port Wentworth GA 31407-9275 Ph: (912) 966-2575 |
| NPI Number | 1891925608 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 11/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891925608 | NPI | - | NPPES |
| HOSP150 | Other | GA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Georgia) | Primary |
Shaw Family Health Center Savannah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Northport Pkwy, Port Wentworth, GA 31407 Phone: 912-645-9889 Fax: 912-228-3058 |