| Epps Medical Associates LLC | |
|
130 Tibet Ave Suite 204 Savannah GA 31406-9028 | |
| (912) 358-0231 | |
| (912) 358-0219 |
| Full Name | Epps Medical Associates LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 130 Tibet Ave, Savannah, Georgia |
| Authorized Official Name and Position | Willie D Epps (DIRECTOR) |
| Authorized Official Contact | 9123580231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epps Medical Associates LLC 130 Tibet Ave Suite 204 Savannah GA 31406-9028 Ph: (912) 358-0231 | Epps Medical Associates LLC 130 Tibet Ave Suite 204 Savannah GA 31406-9028 Ph: (912) 358-0231 |
| NPI Number | 1780914713 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 01/14/2010 |
| Medicare PECOS PAC ID | 0345377362 |
|---|---|
| Medicare Enrollment ID | O20100423000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780914713 | NPI | - | NPPES |
| 504598094E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 57965 (Georgia) | Primary |
| Provider Name | Willie D Epps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902832504 PECOS PAC ID: 1951316355 Enrollment ID: I20060922000239 |
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