Oconee Primary Care, L.l.c.

NPI #1275860900 in Watkinsville, Georgia

Provider Information

NPI Number: 1275860900
Entity Type: Organization
Organization Name: Oconee Primary Care, L.l.c.
Primary Specialty: Internal Medicine
Enumeration Date: Nov 18, 2009
Last Updated: Nov 18, 2009

Practice Location

Address: 1624 MARS HILL RD
Address 2: SUITE B
City: Watkinsville
State: Georgia
ZIP Code: 30677-4813
Phone: (404) 759-6436

Authorized Official

Name: KEN H PARK, MD
Title: OWNER/PROVIDER
Phone: (404) 759-6436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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