Organization · Type 2 NPI
Family Practice & Surgery
General Practice Physician · Eatonton, GA
NPI number
1780836064
Active
Practice location
120 Sparta Hwy
Eatonton, GA 31024-8484
Fax (706) 485-7117
Mailing address
446 Spring St, P.o. Box 485
Sparta, GA 31087-1983
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 020504 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Eatonton
About NPI 1780836064
Family Practice & Surgery's National Provider Identifier is 1780836064, issued on Oct 17, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Eatonton, GA. The record was last updated on Oct 17, 2008.