Family Care Group South, LLC

NPI #1134695075 in Thomson, Georgia

Provider Information

NPI Number: 1134695075
Entity Type: Organization
Organization Name: Family Care Group South, LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 18, 2018
Last Updated: Oct 18, 2018

Practice Location

Address: 315 FLUKER ST
City: Thomson
State: Georgia
ZIP Code: 30824-2108
Phone: (706) 595-1090

Authorized Official

Name: DARYL WILEY
Title: PRESIDENT
Phone: (706) 595-1090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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