| East Georgia Healthcare Center Inc | |
|
6459 Us Hwy 301 S Claxton GA 30417 | |
| (478) 299-6992 | |
| Not Available |
| Full Name | East Georgia Healthcare Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6459 Us Hwy 301 S, Claxton, Georgia |
| Authorized Official Name and Position | Jill R Sorrells (CFO) |
| Authorized Official Contact | 4782376262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Georgia Healthcare Center Inc 215 N Coleman St Swainsboro GA 30401-3530 Ph: (478) 299-6992 | East Georgia Healthcare Center Inc 6459 Us Hwy 301 S Claxton GA 30417 Ph: (478) 299-6992 |
| NPI Number | 1235621418 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 06/04/2018 |
| Medicare PECOS PAC ID | 0547228686 |
|---|---|
| Medicare Enrollment ID | O20180906002886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235621418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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