NPI | 1053627703 |
---|---|
Doing Business As | FAMILY CARE OF MIDDLE GEORGIA |
Entity Type | Organization |
Authorized Contact | IRENE HO Office Manager 478-471-0273 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 076861) |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2010-08-19 |
Last Update Date | 2018-03-17 |