Organization · Type 2 NPI
Family Practice Healthcare Clinic/ Urgent Care
Primary Care Clinic/Center · Mcrae, GA
NPI number
1689802597
Active
Practice location
10 North 3rd Ave
Mcrae, GA 31055-4941
Fax (229) 520-3068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | RN115997 (GA) |
| Primary Care Clinic/Center Primary | 261QP2300X | 037111 (GA) |
| Urgent Care Clinic/Center | 261QU0200X | RN115997 (GA) |
| Urgent Care Clinic/Center | 261QU0200X | 037111 (GA) |
Primary Care Clinic/Center: Definition to come...
About NPI 1689802597
Family Practice Healthcare Clinic/ Urgent Care's National Provider Identifier is 1689802597, issued on Jun 30, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Mcrae, GA. The record was last updated on Mar 28, 2012.