| Primary Care Of Southwest Georgia, Inc. | |
|
360 College Street Blakely GA 39823 | |
| (229) 723-2660 | |
| (229) 723-2663 |
| Full Name | Primary Care Of Southwest Georgia, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 360 College Street, Blakely, Georgia |
| Authorized Official Name and Position | Edwin V James (CHIEF FINANCIAL OFFICER) |
| 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. 360 College Street Blakely GA 39823 Ph: (229) 723-2660 | Primary Care Of Southwest Georgia, Inc. 360 College Street Blakely GA 39823 Ph: (229) 723-2660 |
| NPI Number | 1780607754 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 05/15/2014 |
| Medicare PECOS PAC ID | 5496777948 |
|---|---|
| Medicare Enrollment ID | O20100730000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780607754 | NPI | - | NPPES |
| 024893266A | Medicaid | GA |
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