Family Medical Associates Of Lake Oconee Pc

NPI 1790861581 - Family Medicine - 207Q00000X

NPI Details
NPI 1790861581
Enumeration Date 10/27/2006
Last Updated 05/24/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TEENA R TEENA
Position CIO
Phone (706) 453-4945
Fax
Practice Location
1041 PARK DR
GREENSBORO GA, 30642-3465, US
Phone (706) 453-4945
Fax
Business Location
1041 PARK DR
GREENSBORO GA, 30642-3465, US
Phone (706) 453-4945
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 30368
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According to our database, Family Medical Associates Of Lake Oconee Pc NPI is 1790861581, taxonomy code is 207Q00000X and license number is 30368, license state is located at Georgia. Family Medical Associates Of Lake Oconee Pc physically located at 1041 Park Dr, Greensboro GA, 30642-3465. NPI Number 1033115704 has the healthcare provider type.

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1790861581 NPI number is provided on an as is basis without warranty of any kind. 1790861581 is maintained by the National Plan & Provider Enumeration System. The contents of Family Medical Associates Of Lake Oconee Pc are for informational purposes only.