Oconee Primary Care, L.l.c.

NPI 1275860900 - Internal Medicine - 207R00000X

NPI Details
NPI 1275860900
Enumeration Date 11/18/2009
Last Updated 11/18/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KEN H KEN
Position OWNER/PROVIDER
Phone (404) 759-6436
Fax (706) 769-2750
Practice Location
1624 MARS HILL RD
SUITE B
WATKINSVILLE GA, 30677-4813, US
Phone (404) 759-6436
Fax (706) 769-2750
Business Location
1624 MARS HILL RD
SUITE B
WATKINSVILLE GA, 30677-4813, US
Phone (404) 759-6436
Fax (706) 769-2750
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 050049
Remove 1275860900 NPI Number
 

According to our database, Oconee Primary Care, L.l.c. NPI is 1275860900, taxonomy code is 207R00000X and license number is 050049, license state is located at Georgia. Oconee Primary Care, L.l.c. physically located at 1624 Mars Hill Rd, Watkinsville GA, 30677-4813. NPI Number 1033115704 has the healthcare provider type.

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1275860900 NPI number is provided on an as is basis without warranty of any kind. 1275860900 is maintained by the National Plan & Provider Enumeration System. The contents of Oconee Primary Care, L.l.c. are for informational purposes only.