Headley Family Medicine, Llc

NPI 1023399813 - Family Medicine - 207Q00000X

NPI Details
NPI 1023399813
Enumeration Date 09/07/2011
Last Updated 10/02/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Position OWNER
Phone (912) 427-7400
Fax (912) 385-2953
Practice Location
825 S 1ST ST
JESUP GA, 31545-0209, US
Phone (912) 427-7400
Fax (912) 385-2953
Business Location
PO BOX 606
JESUP GA, 31598-0606, US
Phone (912) 427-7400
Fax (912) 385-2953
Taxonomy Code 207Q00000X
License State Georgia
License Number 51471
Remove 1023399813 NPI Number

According to our database, Headley Family Medicine, Llc NPI is 1023399813, taxonomy code is 207Q00000X and license number is 51471, license state is located at Georgia. Headley Family Medicine, Llc physically located at 825 S 1st St, Jesup GA, 31545-0209. NPI Number 1033115704 has the healthcare provider type.

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1023399813 NPI number is provided on an as is basis without warranty of any kind. 1023399813 is maintained by the National Plan & Provider Enumeration System. The contents of Headley Family Medicine, Llc are for informational purposes only.