| Munsayac Medical Clinic | |
|
308 Main St Lumber City GA 31549-9752 | |
| (912) 363-4389 | |
| (912) 363-1377 |
| Full Name | Munsayac Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 308 Main St, Lumber City, Georgia |
| Authorized Official Name and Position | Lumawig Y Munsayac (PRESIDENT) |
| Authorized Official Contact | 9123634389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munsayac Medical Clinic Po Box 519 Lumber City GA 31549-0519 Ph: (912) 363-4389 | Munsayac Medical Clinic 308 Main St Lumber City GA 31549-9752 Ph: (912) 363-4389 |
| NPI Number | 1558354787 |
|---|---|
| Provider Enumeration Date | 08/23/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0244276970 |
|---|---|
| Medicare Enrollment ID | O20050705000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558354787 | NPI | - | NPPES |
| 00033118A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 015028 (Georgia) | Primary |
Lower Oconee Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Main St, Lumber City, GA 31549 Phone: 912-363-4389 Fax: 912-363-1377 |