| Peach Care Llc | |
|
3722 Main St Folkston GA 31537-7540 | |
| (912) 496-3000 | |
| Not Available |
| Full Name | Peach Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3722 Main St, Folkston, Georgia |
| Authorized Official Name and Position | Maged E Abdelmalik (CEO) |
| Authorized Official Contact | 9124963000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Care Llc 3722 Main St Folkston GA 31537-7540 Ph: (912) 496-3000 | Peach Care Llc 3722 Main St Folkston GA 31537-7540 Ph: (912) 496-3000 |
| NPI Number | 1730598491 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 08/07/2014 |
| Medicare PECOS PAC ID | 0648592634 |
|---|---|
| Medicare Enrollment ID | O20141202000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730598491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 55077 (Georgia) | Primary |
| Provider Name | Maged Abdelmalik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770558470 PECOS PAC ID: 5496724858 Enrollment ID: I20041001000322 |
| Provider Name | Betsy E Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295387751 PECOS PAC ID: 7113128141 Enrollment ID: I20191211003242 |
Amelia Medical Care, Folkston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3435 Second St S, Folkston, GA 31537 Phone: 912-496-0041 Fax: 912-496-0053 | |
Mckinney Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3913 Main St, Folkston, GA 31537 Phone: 912-496-0826 Fax: 912-496-6341 | |
Folkston Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4402 Second Street, Suite B, Folkston, GA 31537 Phone: 912-496-4839 | |
Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2383 Third St, Folkston, GA 31537 Phone: 912-496-2697 Fax: 912-496-1139 | |
Mckinney Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3919 Main St, Folkston, GA 31537 Phone: 912-496-3426 Fax: 912-287-1568 |