| Primary Care Of Southwest Georgia, Inc | |
|
283 Martin Luther King Jr Blvd Blakely GA 39823-3455 | |
| (229) 723-4101 | |
| Not Available |
| Full Name | Primary Care Of Southwest Georgia, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 283 Martin Luther King Jr Blvd, Blakely, Georgia |
| Authorized Official Name and Position | Edwin James (CFO) |
| Authorized Official Contact | 2297232660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Southwest Georgia, Inc 338 College St Blakely GA 39823-2554 Ph: () - | Primary Care Of Southwest Georgia, Inc 283 Martin Luther King Jr Blvd Blakely GA 39823-3455 Ph: (229) 723-4101 |
| NPI Number | 1932877610 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Medicare PECOS PAC ID | 5496777948 |
|---|---|
| Medicare Enrollment ID | O20210914002983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932877610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pioneer Health Services Of Early County, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11168 Columbia St, Blakely, GA 39823 Phone: 229-723-4313 | |
Pioneer Health Services Of Early County, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11168 Columbia St, Suite B, Blakely, GA 39823 Phone: 229-723-8300 | |
Early Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11168 Columbia St, Suite B, Blakely, GA 39823 Phone: 229-723-4313 Fax: 229-723-3734 | |
Pioneer Health Services Of Early County, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11045 Columbia St, Suite B, Blakely, GA 39823 Phone: 229-723-4313 Fax: 229-723-3734 | |
Lifebrite Hospital Group Of Early Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11045 Columbia St, Suite B, Blakely, GA 39823 Phone: 229-723-4313 |