Baxley Medical Clinic, LLC

NPI #1174707103 in Baxley, Georgia

Provider Information

NPI Number: 1174707103
Entity Type: Organization
Organization Name: Baxley Medical Clinic, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 27, 2007
Last Updated: Apr 15, 2010

Practice Location

Address: 331 S MAIN ST
City: Baxley
State: Georgia
ZIP Code: 31513-0109
Phone: (912) 367-9112

Authorized Official

Name: DR. JAMES ADRIAN GRAHAM, M.D.
Title: OWNER
Phone: (912) 367-9112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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