Quail Ridge Family Practice, LLC

NPI #1457314999 in Cairo, Georgia

Provider Information

NPI Number: 1457314999
Entity Type: Organization
Organization Name: Quail Ridge Family Practice, LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 7, 2006
Last Updated: Jul 5, 2018

Practice Location

Address: 1 DOCTORS PARK
City: Cairo
State: Georgia
ZIP Code: 39828
Phone: (229) 378-8110

Authorized Official

Name: DR. MARK C HUDSON, D.O.
Title: OWNER
Phone: (229) 378-8110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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