Organization
PRIMARY FAMILY MEDICINE L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERIAL WALID M.D (M.D)
(478) 922-6685
Entity
Organization
Contact information
Practice address
110 WOODCREST BLVD, WARNER ROBINS, GA 31093-8824
(478) 922-6685
(478) 922-6686
Mailing address
4856 GUERRY DR, MACON, GA 31210-4104
(478) 960-1804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55461
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163454222C
—
GA
01
—
511G700847
MEDICARE PTAN
—
Enumeration date
07/14/2008
Last updated
01/08/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us