| Georgia Kidney Care | |
|
1000 Cowles Clinic Way Ste Cy-300 Greensboro GA 30642-5285 | |
| (706) 410-2111 | |
| Not Available |
| Full Name | Georgia Kidney Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Cowles Clinic Way Ste Cy-300, Greensboro, Georgia |
| Authorized Official Name and Position | Courtney Cantrell (CREDENTIALING) |
| Authorized Official Contact | 4234133832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Kidney Care 1000 Cowles Clinic Way Ste Cy-300 Greensboro GA 30642-5285 Ph: (706) 410-2111 | Georgia Kidney Care 1000 Cowles Clinic Way Ste Cy-300 Greensboro GA 30642-5285 Ph: (706) 410-2111 |
| NPI Number | 1114768132 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 06/04/2024 |
| Medicare PECOS PAC ID | 4587101274 |
|---|---|
| Medicare Enrollment ID | O20240813003197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114768132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Arun Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225050057 PECOS PAC ID: 7315910171 Enrollment ID: I20050804000508 |
| Provider Name | Juan L Pimentel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215923149 PECOS PAC ID: 7911070982 Enrollment ID: I20080729000502 |
Putnam General Hospital Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Cowles Clinic Way, Ste W-2, Greensboro, GA 30642 Phone: 706-999-0270 Fax: 706-999-0274 | |
Greene County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1031 Apalachee Ave, Greensboro, GA 30642 Phone: 706-453-7561 Fax: 706-453-9120 | |
Greene County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1031 Apalachee Ave, Greensboro, GA 30642 Phone: 706-453-7561 Fax: 706-453-9120 | |
Greene County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1031 Apalachee Ave, Greensboro, GA 30642 Phone: 706-453-7561 Fax: 706-453-9120 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Park Dr, Greensboro, GA 30642 Phone: 706-534-6640 Fax: 706-400-4414 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1041 Park Dr, Greensboro, GA 30642 Phone: 706-453-4945 Fax: 706-453-2954 |