Organization · Type 2 NPI
Medical College of Georgia
Prison Health Clinic/Center · Sparta, GA
NPI number
1114138849
Active
Practice location
Prison Rd
Sparta, GA 31081
Mailing address
PO Box 224
Milledgeville, GA 31059-0224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | 050206 (GA) |
Prison Health Clinic/Center: Definition to come...
About NPI 1114138849
Medical College of Georgia's National Provider Identifier is 1114138849, issued on May 24, 2007. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Sparta, GA. The record was last updated on Aug 22, 2020.