Organization
DENIS MORIN
Active
Other names
BUCHANAN MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE D COGGINS (OFFICE MANAGER)
(770) 646-8281
Entity
Organization
Contact information
Practice address
30 BUCHANAN BYP, BUCHANAN, GA 30113-4924
(770) 646-8281
(770) 646-3579
Mailing address
30 BUCHANAN BYP, BUCHANAN, GA 30113-4924
(770) 646-8281
(770) 646-3579
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
024466
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113959
RURAL HEALTH MEDICARE PIN
—
05
—
231090380A
—
GA
01
—
DD7682
RAILROAD MEDICARE PIN
—
Enumeration date
05/10/2007
Last updated
07/28/2010
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