Medical College of Georgia

NPI #1114138849 in Sparta, Georgia

Provider Information

NPI Number
1114138849
Entity Type
Organization
Organization Name
Medical College of Georgia
Primary Specialty
Clinic/Center - Prison Health
Enumeration Date
May 24, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
PRISON RD
City
Sparta
State
Georgia
ZIP Code
31081
Phone
(706) 444-1052

Authorized Official

Name
MR. DAVID BUTTS, HSA
Title
HEALTH SERVICE ADMINISTRATOR
Phone
(706) 444-1052

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Prison HealthPrison Health

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