Southland Branch Family Practice, LLC

NPI #1700042553 in Americus, Georgia

Provider Information

NPI Number
1700042553
Entity Type
Organization
Organization Name
Southland Branch Family Practice, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 31, 2008
Last Updated
Jul 31, 2008

Practice Location

Address
151 MAYO ST
State
Georgia
ZIP Code
31709-3735
Phone
(229) 928-4144

Authorized Official

Name
DENISE C LAING
Title
NURSE PRACTIONER
Phone
(229) 928-4144

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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