Hazlehurst Primary Care, Pc

NPI 1497935407 - Specialist - 174400000X

NPI Details
NPI 1497935407
Enumeration Date 11/07/2007
Last Updated 11/07/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHELLY SHELLY
Position DIRECTOR
Phone (912) 375-5507
Fax (912) 375-2172
Practice Location
17 JOHNSON ST
HAZLEHURST GA, 31539-6243, US
Phone (912) 375-5507
Fax (912) 375-2172
Business Location
PO BOX 647
HAZLEHURST GA, 31539-0647, US
Phone (912) 375-5507
Fax (912) 375-2172
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Hazlehurst Primary Care, Pc NPI is 1497935407, taxonomy code is 174400000X Hazlehurst Primary Care, Pc physically located at 17 Johnson St, Hazlehurst GA, 31539-6243. NPI Number 1033115704 has the healthcare provider type.

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1497935407 NPI number is provided on an as is basis without warranty of any kind. 1497935407 is maintained by the National Plan & Provider Enumeration System. The contents of Hazlehurst Primary Care, Pc are for informational purposes only.