Correctmed Locust Grove, LLC
NPI #1245554682 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1245554682
- Entity Type
- Organization
- Organization Name
- Correctmed Locust Grove, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 14, 2010
- Last Updated
- Sep 24, 2013
Practice Location
- Address
- 4861 BILL GARDNER PKWY
- Address 2
- SUITE 100
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-3644
- Phone
- (770) 626-5740
Authorized Official
- Name
- MISS LINDA FAULKNER, FNP
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (770) 626-5740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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