| Lifebrite Hospital Group Of Early Llc | |
|
11045 Columbia St Suite B Blakely GA 39823-3447 | |
| (229) 723-4313 | |
| Not Available |
| Full Name | Lifebrite Hospital Group Of Early Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11045 Columbia St, Blakely, Georgia |
| Authorized Official Name and Position | Morgan Dunn (CEO) |
| Authorized Official Contact | 6018496440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebrite Hospital Group Of Early Llc 11045 Columbia St Suite B Blakely GA 39823-3447 Ph: () - | Lifebrite Hospital Group Of Early Llc 11045 Columbia St Suite B Blakely GA 39823-3447 Ph: (229) 723-4313 |
| NPI Number | 1912430224 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 7810263589 |
|---|---|
| Medicare Enrollment ID | O20171024003011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912430224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Luis A Murrain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285749788 PECOS PAC ID: 2264431634 Enrollment ID: I20070205000566 |
| Provider Name | David L Brand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922160894 PECOS PAC ID: 5395767206 Enrollment ID: I20080930000579 |
| Provider Name | Wiley Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083686430 PECOS PAC ID: 7810046257 Enrollment ID: I20090514000312 |
| Provider Name | Julie T Hornsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861631251 PECOS PAC ID: 9436216462 Enrollment ID: I20090720000117 |
| Provider Name | Vincent B Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821039660 PECOS PAC ID: 3779516828 Enrollment ID: I20120123000763 |
| Provider Name | Glendell B Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962755421 PECOS PAC ID: 4688826514 Enrollment ID: I20121128000649 |
| Provider Name | Elizabeth S Mansfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639582281 PECOS PAC ID: 6709006422 Enrollment ID: I20141001001241 |
| Provider Name | Philip B Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649411422 PECOS PAC ID: 1759551088 Enrollment ID: I20190104001268 |
| Provider Name | Amit Sanghi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720280530 PECOS PAC ID: 0941469613 Enrollment ID: I20200403002384 |
| Provider Name | Michael K Rushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386373082 PECOS PAC ID: 3678513504 Enrollment ID: I20231017001203 |
| Provider Name | Izabella Cushing Temples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962247999 PECOS PAC ID: 4789123605 Enrollment ID: I20240823000444 |
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Pioneer Health Services Of Early County, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11045 Columbia St, Suite B, Blakely, GA 39823 Phone: 229-723-4313 Fax: 229-723-3734 | |
Primary Care Of Southwest Georgia, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 283 Martin Luther King Jr Blvd, Blakely, GA 39823 Phone: 229-723-4101 |