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NPI Code Detail

MEDICARE: INTERNAL MEDICINE ASSOCIATES OF WAYCROSS, P.C.

MEDICARE: INTERNAL MEDICINE ASSOCIATES OF WAYCROSS, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianGA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CG6045OTHERRAILROAD MEDICARE GRP NUM

General Provider Information

NPI Number : 1144420530
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERNAL MEDICINE ASSOCIATES OF WAYCROSS, P.C.
Provider Business Mailing Address
First Line : 711 KNIGHT AVE
Second Line :
City : WAYCROSS
State : GA
Zip : 31501-1943
Country : US
Telephone Number : 912-283-9423
Fax Number : 912-283-8204
Provider Business Practice Location Address
First Line : 711 KNIGHT AVE
Second Line :
City : WAYCROSS
State : GA
Zip : 31501-1943
Country : US
Telephone Number : 912-283-9423
Fax Number : 912-283-8204
Authorized Official
Title or Position : MANAGER
Name : MRS. SIRENA H CADY
Credential :
Telephone Number : 912-283-9423
Provider Enumeration Date : 07/23/2007
Last Update Date : 02/22/2022

Similar Medicare Providers

1417948282 — DR. ROBERT M PACKER III M.D.
Practice Location Address:
711 KNIGHT AVE
WAYCROSS, GA
31501-1943
Practice Phone: 912-283-9423
Practice Fax: 912-283-8204
1306820741 — DR. JILL G BRYANT MD
Practice Location Address:
711 KNIGHT AVE
WAYCROSS, GA
31501-1943
Practice Phone: 912-283-9423
Practice Fax: 912-283-8204
1538143607 — DR. RHONDA O WILLIAMS MD
Practice Location Address:
711 KNIGHT AVE
WAYCROSS, GA
31501-1943
Practice Phone: 912-283-9423
Practice Fax: 912-283-2946
1891875878 — MR. RANDALL W MCCARTHY P.A.
Practice Location Address:
711 KNIGHT AVE
WAYCROSS, GA
31501-1943
Practice Phone: 912-283-9423
Practice Fax: 912-283-2946
1114007044 — MS. ANDREA M DELOACH FNP-C
Practice Location Address:
711 KNIGHT AVE
WAYCROSS, GA
31501-1943
Practice Phone: 912-283-9423
Practice Fax: 912-283-2946
1831456409 — MRS. ROXY J SHEFFIELD P.A.
Practice Location Address:
711 KNIGHT AVE
WAYCROSS, GA
31501-1943
Practice Phone: 912-283-9423
Practice Fax: 912-283-9204

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