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1770224495
ENSIGN FAMILY MEDICINE LLC
WAYCROSS, GA
NPI
1770224495
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Entity Type
Organization
Authorized Contact
SHAD STORMANT
President
912-490-5080
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-04-05
Last Update Date
2022-09-28
Business Address
ENSIGN FAMILY MEDICINE LLC
1302 PLANT AVE
WAYCROSS, GA 31501-3537
Phone number: 912-490-5080
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Mailing Address
ENSIGN FAMILY MEDICINE LLC
1302 PLANT AVE
WAYCROSS, GA 31501-3537
Phone number: 912-490-5080
Copy
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