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1710 1/2 Alice St Waycross GA 31501-5216 | |
(912) 285-9990 | |
(912) 283-9797 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1710 1/2 Alice St, Waycross, Georgia |
Authorized Official Name and Position | Rick Tatum (PHYSICIAN ASSISTANT (PARTNER)) |
Authorized Official Contact | 9122859990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1710 1/2 Alice St Waycross GA 31501-5216 Ph: (912) 285-9990 | 1710 1/2 Alice St Waycross GA 31501-5216 Ph: (912) 285-9990 |
NPI Number | 1679957435 |
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Provider Enumeration Date | 07/11/2015 |
Last Update Date | 10/19/2015 |
Identifier | Type | State | Issuer |
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1679957435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Georgia) | Primary |
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 | |
Peter Wrobel Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 Old Reynolds St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1360 | |
Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
Satilla Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W Oneida St, Waycross, GA 31501 Phone: 912-338-0065 Fax: 912-338-0920 |