| Memorial Health Rincon | |
|
241 Silverwood Commercial Drive Rincon GA 31326 | |
| (912) 826-8800 | |
| (912) 826-8805 |
| Full Name | Memorial Health Rincon |
|---|---|
| Speciality | Internal Medicine |
| Location | 241 Silverwood Commercial Drive, Rincon, 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 Rincon Po Box 102032 Atlanta GA 30368-2032 Ph: (912) 826-8800 | Memorial Health Rincon 241 Silverwood Commercial Drive Rincon GA 31326 Ph: (912) 826-8800 |
| NPI Number | 1154480614 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154480614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
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