| Neighborhood Improvement Project Inc | |
|
2300 Wrightsboro Rd Augusta GA 30904-6220 | |
| (706) 790-4440 | |
| Not Available |
| Full Name | Neighborhood Improvement Project Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2300 Wrightsboro Rd, Augusta, Georgia |
| Authorized Official Name and Position | Wesley Wood (CFO) |
| Authorized Official Contact | 7067904440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Improvement Project Inc 2467 Golden Camp Rd Augusta GA 30906-5515 Ph: (706) 790-4440 | Neighborhood Improvement Project Inc 2300 Wrightsboro Rd Augusta GA 30904-6220 Ph: (706) 790-4440 |
| NPI Number | 1033756861 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 7315851078 |
|---|---|
| Medicare Enrollment ID | O20200326003955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033756861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Benjamin L. Rucker M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 Druid Park Ave, Suite B, Augusta, GA 30904 Phone: 706-733-9447 Fax: 706-738-0863 | |
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