| Monroe Primary Care LLC | |
|
705 Breedlove Dr Ste 800 Monroe GA 30655-2086 | |
| (678) 635-6185 | |
| (678) 635-6187 |
| Full Name | Monroe Primary Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 705 Breedlove Dr Ste 800, Monroe, Georgia |
| Authorized Official Name and Position | Joel Garrison (PHYSICIAN) |
| Authorized Official Contact | 6786356185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Primary Care LLC 705 Breedlove Dr Ste 800 Monroe GA 30655-2086 Ph: (678) 635-6185 | Monroe Primary Care LLC 705 Breedlove Dr Ste 800 Monroe GA 30655-2086 Ph: (678) 635-6185 |
| NPI Number | 1710726963 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Medicare PECOS PAC ID | 2264979194 |
|---|---|
| Medicare Enrollment ID | O20240808003312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710726963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Joel Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720426695 PECOS PAC ID: 0143517599 Enrollment ID: I20160928001724 |
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