| Lentz Urgent Care & Family Med, Inc | |
|
182 Sunset Blvd Jesup GA 31545-0401 | |
| (912) 385-2102 | |
| (912) 385-2180 |
| Full Name | Lentz Urgent Care & Family Med, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 182 Sunset Blvd, Jesup, Georgia |
| Authorized Official Name and Position | Randy Lentz (OWNER/DOCTOR) |
| Authorized Official Contact | 9123852102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lentz Urgent Care & Family Med, Inc 182 Sunset Blvd Jesup GA 31545-0401 Ph: (912) 385-2102 | Lentz Urgent Care & Family Med, Inc 182 Sunset Blvd Jesup GA 31545-0401 Ph: (912) 385-2102 |
| NPI Number | 1003449968 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 08/31/2023 |
| Medicare PECOS PAC ID | 4587095476 |
|---|---|
| Medicare Enrollment ID | O20200508001765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003449968 | NPI | - | NPPES |
| 1205832227 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Randy S Lentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205832227 PECOS PAC ID: 9638148828 Enrollment ID: I20040924000707 |
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