| Longevity Care Services Inc | |
|
4445 Ga Highway 40 E Suite 503 Saint Marys GA 31558-4099 | |
| (912) 729-3873 | |
| Not Available |
| Full Name | Longevity Care Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4445 Ga Highway 40 E, Saint Marys, Georgia |
| Authorized Official Name and Position | Aurora Y Hernandez (PRESIDENT) |
| Authorized Official Contact | 9127293873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Care Services Inc 4445 Ga Highway 40 E Suite 503 Saint Marys GA 31558-4099 Ph: (912) 729-3873 | Longevity Care Services Inc 4445 Ga Highway 40 E Suite 503 Saint Marys GA 31558-4099 Ph: (912) 729-3873 |
| NPI Number | 1982816047 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982816047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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