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NPI Code Detail

MEDICARE: THE MEDICAL CENTER OF PEACH COUNTY, INC

MEDICARE: THE MEDICAL CENTER OF PEACH COUNTY, INC
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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1275775314
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE MEDICAL CENTER OF PEACH COUNTY, INC
Provider Business Mailing Address
First Line : 1960 HWY 247 CONNECTOR
Second Line :
City : BYRON
State : GA
Zip : 31008-5663
Country : US
Telephone Number : 478-654-2000
Fax Number : 478-654-2001
Provider Business Practice Location Address
First Line : 201 AVERA DR
Second Line :
City : FORT VALLEY
State : GA
Zip : 31030-5008
Country : US
Telephone Number : 478-825-7000
Fax Number : 478-825-4478
Authorized Official
Title or Position : CFO
Name : PHILIP WHEELER
Credential :
Telephone Number : 706-509-3012
Provider Enumeration Date : 04/06/2009
Last Update Date : 09/29/2025

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Directions to “THE MEDICAL CENTER OF PEACH COUNTY, INC ” Practice Location

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