Grady Primary Care

NPI 1477716769 - Clinic/Center - 261QH0100X

NPI Details
NPI 1477716769
Enumeration Date 07/07/2008
Last Updated 02/12/2016
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ANDREW ALLISON ANDREW
Position OWNER
Phone (229) 378-2214
Fax (229) 378-2250
Practice Location
235 1ST AVE NE
CAIRO GA, 39828-2118, US
Phone (229) 378-2214
Fax (229) 378-2250
Business Location
235 1ST AVE NE
CAIRO GA, 39828-2118, US
Phone (229) 378-2214
Fax (229) 378-2250
Toxanomy
Taxonomy Code 261QH0100X
License State Georgia
License Number 19509
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According to our database, Grady Primary Care NPI is 1477716769, taxonomy code is 261QH0100X and license number is 19509, license state is located at Georgia. Grady Primary Care physically located at 235 1st Ave Ne, Cairo GA, 39828-2118. NPI Number 1033115704 has the healthcare provider type.

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1477716769 NPI number is provided on an as is basis without warranty of any kind. 1477716769 is maintained by the National Plan & Provider Enumeration System. The contents of Grady Primary Care are for informational purposes only.