| Northeast Georgia House Calls Llc | |
|
2205 Barnett Shoals Rd Athens GA 30605-3605 | |
| (706) 548-1555 | |
| (888) 532-0853 |
| Full Name | Northeast Georgia House Calls Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2205 Barnett Shoals Rd, Athens, Georgia |
| Authorized Official Name and Position | Marsha Williamson (BUSINESS MANAGER) |
| Authorized Official Contact | 7062026842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Georgia House Calls Llc 2205 Barnett Shoals Rd Athens GA 30605-3605 Ph: (706) 548-1555 | Northeast Georgia House Calls Llc 2205 Barnett Shoals Rd Athens GA 30605-3605 Ph: (706) 548-1555 |
| NPI Number | 1902438617 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Medicare PECOS PAC ID | 9436589868 |
|---|---|
| Medicare Enrollment ID | O20200424002493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902438617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul D Haver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770578155 PECOS PAC ID: 8921141268 Enrollment ID: I20100209000004 |
| Provider Name | James M Shiver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811982952 PECOS PAC ID: 3274676382 Enrollment ID: I20100211000108 |
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