| Satilla Family Medicine, P.c. | |
|
407 W Oneida St Waycross GA 31501-5320 | |
| (912) 338-0065 | |
| (912) 338-0920 |
| Full Name | Satilla Family Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 407 W Oneida St, Waycross, Georgia |
| Authorized Official Name and Position | Mukesh Agarwal (SECRETARY/TREASURER) |
| Authorized Official Contact | 9123380065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Satilla Family Medicine, P.c. 407 W Oneida St Waycross GA 31501-5320 Ph: (912) 338-0065 | Satilla Family Medicine, P.c. 407 W Oneida St Waycross GA 31501-5320 Ph: (912) 338-0065 |
| NPI Number | 1134164452 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 10/15/2009 |
| Medicare PECOS PAC ID | 7618958612 |
|---|---|
| Medicare Enrollment ID | O20040526000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134164452 | NPI | - | NPPES |
| 085002995G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 048327 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 039994 (Georgia) | Primary |
| Provider Name | Nishi G Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750319992 PECOS PAC ID: 7911938238 Enrollment ID: I20050826000293 |
| Provider Name | Mukesh Chandra Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467480780 PECOS PAC ID: 0840227021 Enrollment ID: I20100428000097 |
David H. Cheatham, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beacon St, Waycross, GA 31501 Phone: 912-285-2440 Fax: 912-287-0197 | |
Southeast Georgia Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 | |
Thornton Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Stephenson St, Waycross, GA 31501 Phone: 912-283-6043 Fax: 912-283-6043 | |
Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
Packer Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Knight Ave, Waycross, GA 31501 Phone: 912-283-2311 Fax: 912-283-8204 | |
Waycross Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Knight Ave, Waycross, GA 31501 Phone: 912-283-9423 Fax: 912-283-8204 |