| Oconee Primary Care Center, Llc | |
|
411 N Cobb St Milledgeville GA 31061-2634 | |
| (478) 454-3470 | |
| Not Available |
| Full Name | Oconee Primary Care Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 411 N Cobb St, Milledgeville, Georgia |
| Authorized Official Name and Position | Janelyn F Gaston (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7064684519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconee Primary Care Center, Llc 411 N Cobb St Milledgeville GA 31061-2634 Ph: (478) 454-3470 | Oconee Primary Care Center, Llc 411 N Cobb St Milledgeville GA 31061-2634 Ph: (478) 454-3470 |
| NPI Number | 1154756369 |
|---|---|
| Provider Enumeration Date | 09/06/2013 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154756369 | NPI | - | NPPES |
| 003140021A | Medicaid | GA | |
| 202G701823 | Other | GA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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