Organization · Type 2 NPI
Crisp General Internal Medicine Inc
Medical Specialty Clinic/Center · Cordele, GA
Practice location
416 E 4th Ave Ste B
Cordele, GA 31015-3729
Fax (229) 273-2515
Mailing address
1801 Quail Run
Cordele, GA 31015-2096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 060593 (GA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
About NPI 1669632014
Crisp General Internal Medicine Inc's National Provider Identifier is 1669632014, issued on Jun 10, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Cordele, GA. The record was last updated on Jun 10, 2008.