Lake Hartwell Family Medicine, Llc

NPI 1003015900 - Family Medicine - 207Q00000X

NPI Details
NPI 1003015900
Enumeration Date 07/12/2007
Last Updated 09/06/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WAYNE WAYNE
Position PHYSICIAN/OWNER
Phone (706) 856-6970
Fax (706) 856-6972
Practice Location
162 CADE ST
HARTWELL GA, 30643-1815, US
Phone (706) 856-6970
Fax (706) 856-6972
Business Location
162 CADE ST
HARTWELL GA, 30643-1815, US
Phone (706) 856-6970
Fax (706) 856-6972
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 058820
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According to our database, Lake Hartwell Family Medicine, Llc NPI is 1003015900, taxonomy code is 207Q00000X and license number is 058820, license state is located at Georgia. Lake Hartwell Family Medicine, Llc physically located at 162 Cade St, Hartwell GA, 30643-1815. NPI Number 1033115704 has the healthcare provider type.

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1003015900 NPI number is provided on an as is basis without warranty of any kind. 1003015900 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Hartwell Family Medicine, Llc are for informational purposes only.