Capstone Medical Clinic LLC

NPI #1407436462 in Perry, Georgia

Provider Information

NPI Number: 1407436462
Entity Type: Organization
Organization Name: Capstone Medical Clinic LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 13, 2021
Last Updated: Apr 13, 2021

Practice Location

Address: 1023 KEITH DR
City: Perry
State: Georgia
ZIP Code: 31069-2948
Phone: (478) 988-1100

Authorized Official

Name: BRENDA BOZAARD
Title: CRED/BILLING MANAGER
Phone: (478) 333-6468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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