Family Total Healthcare LLC

NPI #1457646770 in Vidalia, Georgia

Provider Information

NPI Number: 1457646770
Entity Type: Organization
Organization Name: Family Total Healthcare LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ALTAMAHA MEDICAL CLINIC
Primary Specialty: Nurse Practitioner
Enumeration Date: Jun 15, 2011
Last Updated: Jun 15, 2011

Practice Location

Address: 509 JACKSON ST
City: Vidalia
State: Georgia
ZIP Code: 30474-4720
Phone: (912) 537-2564

Authorized Official

Name: MR. GARLAND MARTIN, MD
Title: MEDICAL DIRECTOR
Phone: (912) 367-5525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Internal Medicine	207R00000X
Nurse Practitioner	363L00000X	Primary

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