Blackshear Family Practice

NPI #1497962435 in Nahunta, Georgia

Provider Information

NPI Number: 1497962435
Entity Type: Organization
Organization Name: Blackshear Family Practice
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGIA PHYSICIANS SOUTH PC
Primary Specialty: Family Medicine
Enumeration Date: May 17, 2007
Last Updated: Oct 14, 2014

Practice Location

Address: 71 JOHNSON ST
City: Nahunta
State: Georgia
ZIP Code: 31553-4032
Phone: (912) 462-8920

Authorized Official

Name: LISA THRIFT
Title: PRACTICE MANAGER
Phone: (912) 449-1501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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