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1295491595
DENTON FAMILY CLINIC LLC
JASPER, GA
NPI
1295491595
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Entity Type
Organization
Authorized Contact
ELAINA AVERETT
Owner
770-894-7820
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
DENTON FAMILY CLINIC LLC
12 SAMMY MCGHEE BLVD STE 204
JASPER, GA 30143-7712
Phone number: 770-894-7820
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Mailing Address
DENTON FAMILY CLINIC LLC
12 SAMMY MCGHEE BLVD STE 204
JASPER, GA 30143-7712
Phone number: 770-894-7820
Copy
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