Middle Georgia Primary Care

NPI #1699226001 in Perry, Georgia

Provider Information

NPI Number
1699226001
Entity Type
Organization
Organization Name
Middle Georgia Primary Care
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 20, 2016
Last Updated
Oct 20, 2016

Practice Location

Address
1115 MORNINGSIDE DRIVE
City
Perry
State
Georgia
ZIP Code
31069
Phone
(478) 988-3060

Authorized Official

Name
APPAVUCHETTY SOUNDAPPAN, MD
Title
DOCTOR
Phone
(478) 988-3060

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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