Four County Health Care, Llc

NPI 1114056934 - Clinic/Center - 261QA0600X

NPI Details
NPI 1114056934
Enumeration Date 03/05/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIM KIM
Position VP OF FINANCIAL REPORTING
Phone (229) 887-2021
Fax (229) 887-3978
Practice Location
99 OVERBY DR
RICHLAND GA, 31825-1322, US
Phone (229) 887-2021
Fax (229) 887-3978
Business Location
PO BOX 339
RICHLAND GA, 31825-0339, US
Phone (229) 887-2021
Fax (229) 887-3978
Toxanomy
Taxonomy Code 261QA0600X
License State Georgia
License Number 1-128-1712
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According to our database, Four County Health Care, Llc NPI is 1114056934, taxonomy code is 261QA0600X and license number is 1-128-1712, license state is located at Georgia. Four County Health Care, Llc physically located at 99 Overby Dr, Richland GA, 31825-1322. NPI Number 1033115704 has the healthcare provider type.

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1114056934 NPI number is provided on an as is basis without warranty of any kind. 1114056934 is maintained by the National Plan & Provider Enumeration System. The contents of Four County Health Care, Llc are for informational purposes only.