Wellpoint Medical Services, Pc | |
1533 Watson Blvd Ste B Warner Robins GA 31093-3449 | |
(478) 328-6466 | |
(478) 328-1338 |
Full Name | Wellpoint Medical Services, Pc |
---|---|
Speciality | Clinic/center |
Location | 1533 Watson Blvd, Warner Robins, Georgia |
Authorized Official Name and Position | Anthony T Securo (MEDICAL DIRECTOR) |
Authorized Official Contact | 4783286466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wellpoint Medical Services, Pc 1533 Watson Blvd Suite B Warner Robins GA 31093-3449 Ph: (478) 328-6466 | Wellpoint Medical Services, Pc 1533 Watson Blvd Ste B Warner Robins GA 31093-3449 Ph: (478) 328-6466 |
NPI Number | 1114322575 |
---|---|
Provider Enumeration Date | 10/28/2014 |
Last Update Date | 12/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114322575 | NPI | - | NPPES |
051736 | Other | GA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 051736 (Georgia) | Primary |
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