| C & C Medical Group, Inc. | |
|
1384 Battlefield Pkwy Fort Oglethorpe GA 30742-4010 | |
| (706) 861-2700 | |
| (706) 861-2745 |
| Full Name | C & C Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1384 Battlefield Pkwy, Fort Oglethorpe, Georgia |
| Authorized Official Name and Position | Connie N. Couch (PRESIDENT/CEO) |
| Authorized Official Contact | 7068612700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C & C Medical Group, Inc. 6513 Burr St East Ridge TN 37412-4201 Ph: (706) 861-2700 | C & C Medical Group, Inc. 1384 Battlefield Pkwy Fort Oglethorpe GA 30742-4010 Ph: (706) 861-2700 |
| NPI Number | 1871649525 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 0840284659 |
|---|---|
| Medicare Enrollment ID | O20040414000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871649525 | NPI | - | NPPES |
| Provider Name | Walter F Watkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710087986 PECOS PAC ID: 0547174112 Enrollment ID: I20031118000261 |
| Provider Name | Dayle C Hawthorne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235234592 PECOS PAC ID: 0042471674 Enrollment ID: I20120417000481 |
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