Community Primary Care of Georgia LLC

NPI #1336492511 in Gray, Georgia

Provider Information

NPI Number
1336492511
Entity Type
Organization
Organization Name
Community Primary Care of Georgia LLC
Primary Specialty
Family Medicine - Geriatric Medicine
Enumeration Date
Oct 25, 2012
Last Updated
Jun 28, 2019

Practice Location

Address
1005 BOULDER DR
City
Gray
State
Georgia
ZIP Code
31032-6141
Phone
(478) 621-2100

Authorized Official

Name
ELIZE JOSEPH
Title
DIRECTOR OF PRACTICE MANAGEMENT
Phone
(478) 621-2100

Specialties & Taxonomy Codes

Specialty
Family Medicine - Geriatric MedicineGeriatric Medicine

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