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1083253140
INTERCARE MEDICAL, CORP
AUGUSTA, GA
NPI
1083253140
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Entity Type
Organization
Authorized Contact
JON C GIBBS
Physician
706-432-1111
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center Pain
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
INTERCARE MEDICAL, CORP
3540 WHEELER RD STE 307
AUGUSTA, GA 30909-1887
Phone number: 706-432-1111
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Mailing Address
INTERCARE MEDICAL, CORP
62 CONIFER CIR
AUGUSTA, GA 30909-4506
Phone number: 706-465-6260
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