| Mcdonough Walk-in Healthcare Center | |
|
526 Bentley Way Mcdonough GA 30253-3762 | |
| (678) 979-7382 | |
| Not Available |
| Full Name | Mcdonough Walk-in Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 526 Bentley Way, Mcdonough, Georgia |
| Authorized Official Name and Position | Sandy T. Zachery (NURSE PRACTITIONER, OWNER) |
| Authorized Official Contact | 6789797382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdonough Walk-in Healthcare Center 526 Bentley Way Mcdonough GA 30253-3762 Ph: (678) 979-7382 | Mcdonough Walk-in Healthcare Center 526 Bentley Way Mcdonough GA 30253-3762 Ph: (678) 979-7382 |
| NPI Number | 1245826619 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 4789059932 |
|---|---|
| Medicare Enrollment ID | O20230331001867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245826619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sandy T Zachery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376177295 PECOS PAC ID: 5698140846 Enrollment ID: I20230404000723 |
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