| Medlink Georgia Inc | |
|
1160 Capital Ave Ste 105 Watkinsville GA 30677-1832 | |
| (706) 521-3113 | |
| Not Available |
| Full Name | Medlink Georgia Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1160 Capital Ave Ste 105, Watkinsville, Georgia |
| Authorized Official Name and Position | Dave Ward (CEO) |
| Authorized Official Contact | 7067883234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medlink Georgia Inc Po Box 459 Colbert GA 30628-0459 Ph: (706) 788-3234 | Medlink Georgia Inc 1160 Capital Ave Ste 105 Watkinsville GA 30677-1832 Ph: (706) 521-3113 |
| NPI Number | 1093401895 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 3274442850 |
|---|---|
| Medicare Enrollment ID | O20230512000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093401895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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