| Maysville Family Practice, Inc | |
|
14 Homer Street Maysville GA 30558-1738 | |
| (706) 652-2252 | |
| (706) 652-3444 |
| Full Name | Maysville Family Practice, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 14 Homer Street, Maysville, Georgia |
| Authorized Official Name and Position | Donna Ann Kinsey (OFFICE MANAGER) |
| Authorized Official Contact | 7066522252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maysville Family Practice, Inc Po Box 349 Maysville GA 30558-0349 Ph: (706) 652-2252 | Maysville Family Practice, Inc 14 Homer Street Maysville GA 30558-1738 Ph: (706) 652-2252 |
| NPI Number | 1366648644 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608863543 |
|---|---|
| Medicare Enrollment ID | O20040430000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366648644 | NPI | - | NPPES |
| 1346320363 | Other | GA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 030637 (Georgia) | Primary |
| Provider Name | Gary S Kinsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346320363 PECOS PAC ID: 6305923186 Enrollment ID: I20111212000246 |
Flint Family Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 N Main St, Maysville, GA 30558 Phone: 706-652-2252 Fax: 706-652-3444 |