| Raphamed Primary Care | |
|
1836 Watson Blvd Warner Robins GA 31093-3612 | |
| (478) 352-0235 | |
| (478) 225-4318 |
| Full Name | Raphamed Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1836 Watson Blvd, Warner Robins, Georgia |
| Authorized Official Name and Position | Sunday Yusuf (OWNER) |
| Authorized Official Contact | 4783520231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raphamed Primary Care 1836 Watson Blvd Warner Robins GA 31093-3612 Ph: (478) 352-0235 | Raphamed Primary Care 1836 Watson Blvd Warner Robins GA 31093-3612 Ph: (478) 352-0235 |
| NPI Number | 1821821976 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 08/31/2024 |
| Medicare PECOS PAC ID | 7911435441 |
|---|---|
| Medicare Enrollment ID | O20250113001106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821821976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sunday O Yusuf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760943146 PECOS PAC ID: 5294123741 Enrollment ID: I20211102002264 |
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