Mckinney Medical Center INC

NPI #1821476193 in Kingsland, Georgia

Provider Information

NPI Number: 1821476193
Entity Type: Organization
Organization Name: Mckinney Medical Center INC
Subpart: Yes (part of a larger organization)
Parent Organization: MCKINNEY MEDICAL CENTER INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: May 7, 2015
Last Updated: Jun 5, 2019

Practice Location

Address: 711 CHARLES GILMAN JR AVE STE B
City: Kingsland
State: Georgia
ZIP Code: 31548-5664
Phone: (912) 510-9728

Authorized Official

Name: OLA SMITH, CEO
Title: CEO
Phone: (912) 287-0301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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