Insulinic of Georgia LLC

NPI #1225745086 in Millen, Georgia

Provider Information

NPI Number: 1225745086
Entity Type: Organization
Organization Name: Insulinic of Georgia LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 1, 2022
Last Updated: Nov 15, 2022

Practice Location

Address: 931 E WINTHROPE AVE
City: Millen
State: Georgia
ZIP Code: 30442-1839
Phone: (478) 239-0230

Authorized Official

Name: GARY WAGGONER
Title: CREDENTIALING MANAGER
Phone: (214) 202-1023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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