| Memorial Health Urgentone, Inc. | |
|
110 Medical Park Dr Pooler GA 31322-1956 | |
| (912) 748-1515 | |
| (912) 748-7707 |
| Full Name | Memorial Health Urgentone, Inc. |
|---|---|
| Speciality | Emergency Medicine |
| Location | 110 Medical Park Dr, Pooler, Georgia |
| Authorized Official Name and Position | Robin J. Maddox (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 9123509335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Health Urgentone, Inc. Po Box 102482 Atlanta GA 30368-2482 Ph: (912) 748-1515 | Memorial Health Urgentone, Inc. 110 Medical Park Dr Pooler GA 31322-1956 Ph: (912) 748-1515 |
| NPI Number | 1083782189 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 05/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083782189 | NPI | - | NPPES |
| 300032177S | Medicaid | GA | |
| GPA892 | Medicaid | SC | |
| CG4057 | Other | GA | RR MEDICARE |
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