Intercare Medical, Corp

NPI #1083253140 in Augusta, Georgia

Provider Information

NPI Number: 1083253140
Entity Type: Organization
Organization Name: Intercare Medical, Corp
Primary Specialty: Clinic/Center - Pain
Enumeration Date: Jan 6, 2020
Last Updated: Jan 6, 2020

Practice Location

Address: 3540 WHEELER RD STE 307
City: Augusta
State: Georgia
ZIP Code: 30909-1887
Phone: (706) 432-1111

Authorized Official

Name: DR. JON C GIBBS, M.D.
Title: PHYSICIAN
Phone: (706) 432-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Pain — Pain	261QP3300X	Primary

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