| Prime Care Medical Services Inc | |
|
242 South Coastal Hwy 17 Midway GA 31320-5231 | |
| (912) 884-3444 | |
| (912) 884-3456 |
| Full Name | Prime Care Medical Services Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 242 South Coastal Hwy 17, Midway, Georgia |
| Authorized Official Name and Position | Olugbenga Awe (OWNER) |
| Authorized Official Contact | 9128843444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Medical Services Inc 242 South Coastal Hwy 17 Midway GA 31320-5231 Ph: (912) 884-3444 | Prime Care Medical Services Inc 242 South Coastal Hwy 17 Midway GA 31320-5231 Ph: (912) 884-3444 |
| NPI Number | 1811090905 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 05/17/2011 |
| Medicare PECOS PAC ID | 6204846298 |
|---|---|
| Medicare Enrollment ID | O20060504000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811090905 | NPI | - | NPPES |
| 714892838A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8433 (Georgia) | Primary |
| Provider Name | Olugbenga A Awe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841285087 PECOS PAC ID: 6204811524 Enrollment ID: I20060505000276 |
Liberty Regional Medical Associates Primary Care-midway Campus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 Islands Highway, Midway, GA 31320 Phone: -- | |
Coastal Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 Butler St, Midway, GA 31320 Phone: 912-884-9255 Fax: 912-884-9257 |