| Keys Ferry Medical Center | |
|
68 Hampton St Mcdonough GA 30253-3150 | |
| (770) 914-0342 | |
| (770) 914-0493 |
| Full Name | Keys Ferry Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 68 Hampton St, Mcdonough, Georgia |
| Authorized Official Name and Position | William Harrell Van Laar (OWNER) |
| Authorized Official Contact | 7709140342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keys Ferry Medical Center 68 Hampton St Mcdonough GA 30253-3150 Ph: (770) 914-0342 | Keys Ferry Medical Center 68 Hampton St Mcdonough GA 30253-3150 Ph: (770) 914-0342 |
| NPI Number | 1710058953 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 11/09/2007 |
| Medicare PECOS PAC ID | 7810148715 |
|---|---|
| Medicare Enrollment ID | O20121126000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710058953 | NPI | - | NPPES |
| 000458455E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William H Vanlaar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205909439 PECOS PAC ID: 5395712566 Enrollment ID: I20040916000167 |
| Provider Name | Jodi M Pesce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417028655 PECOS PAC ID: 8820387517 Enrollment ID: I20160519001267 |
Phoenix Medical Group Of Ga Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 Jonesboro Road, Mcdonough, GA 30253 Phone: 678-814-4901 Fax: 678-814-4908 | |
Healthy Happier Living Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Huntington Place Ct, Mcdonough, GA 30253 Phone: 770-731-3513 Fax: 678-610-6025 | |
Open Hearts & Hands, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Gambier Cv, Mcdonough, GA 30252 Phone: 904-536-3032 | |
Anglyn Family Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Sims St, Mcdonough, GA 30253 Phone: 770-957-3922 Fax: 770-957-5477 | |
Family Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1631 Hwy 20 W, Mcdonough, GA 30253 Phone: 770-288-2822 Fax: 770-288-2820 | |
Southern Grace Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 364 Racetrack Rd, Mcdonough, GA 30252 Phone: 678-432-8811 Fax: 678-432-8821 | |
Priceless Primary Health Care Of Atlanta Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Griffin St, Suite 100b, Mcdonough, GA 30253 Phone: 678-583-8988 Fax: 678-583-8994 |