Family Care Of Northwest Georgia

NPI 1740440080 - Clinic/Center - 261QP2300X

NPI Details
NPI 1740440080
Enumeration Date 06/10/2008
Last Updated 06/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RALPH EDWARD RALPH
Position PRESIDENT
Phone (706) 639-9055
Fax
Practice Location
204 N DUKE ST
LA FAYETTE GA, 30728-2505, US
Phone (706) 639-9055
Fax
Business Location
PO BOX 606
LA FAYETTE GA, 30728-0606, US
Phone
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
Remove 1740440080 NPI Number
 

According to our database, Family Care Of Northwest Georgia NPI is 1740440080, taxonomy code is 261QP2300X Family Care Of Northwest Georgia physically located at 204 N Duke St, La Fayette GA, 30728-2505. NPI Number 1033115704 has the healthcare provider type.

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1740440080 NPI number is provided on an as is basis without warranty of any kind. 1740440080 is maintained by the National Plan & Provider Enumeration System. The contents of Family Care Of Northwest Georgia are for informational purposes only.