Doerun Primary Care Clinic LLC

NPI #1891480653 in Doerun, Georgia

Provider Information

NPI Number: 1891480653
Entity Type: Organization
Organization Name: Doerun Primary Care Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 7, 2023
Last Updated: Jul 28, 2023

Practice Location

Address: 204 N BROAD ST
City: Doerun
State: Georgia
ZIP Code: 31744
Phone: (229) 985-3320

Authorized Official

Name: JAYSHREE BHAVNANI
Title: CFO
Phone: (229) 891-9131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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