Flint River Medi Cal Group, LLC

NPI #1235340969 in Montezuma, Georgia

Provider Information

NPI Number: 1235340969
Entity Type: Organization
Organization Name: Flint River Medi Cal Group, LLC
Primary Specialty: Surgery
Enumeration Date: May 24, 2007
Last Updated: Aug 27, 2013

Practice Location

Address: 509 SUMTER ST
City: Montezuma
State: Georgia
ZIP Code: 31063-1733
Phone: (478) 472-3100

Authorized Official

Name: MR. PHILP H EASTMAN III, CEO
Title: CHIEF EXECUTIVE OFFICE
Phone: (770) 904-6731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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