Southwest Ga Primary Care, LLC

NPI #1629400312 in Ellaville, Georgia

Provider Information

NPI Number
1629400312
Entity Type
Organization
Organization Name
Southwest Ga Primary Care, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 5, 2013
Last Updated
Jun 5, 2014

Practice Location

Address
93 S BROAD ST
State
Georgia
ZIP Code
31806-0989
Phone
(229) 410-9965

Authorized Official

Name
LINDA P HAMSLEY, FNP-C
Title
OWNER
Phone
(229) 410-9965

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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