NPI Index

PROVIDENCE FAMILY MEDICINE CLINIC, INC

Family Medicine

Active Organization
NPI: 1346590148

Practice Address

1787 BROAD STREET
PROVIDENCE FAMILY MEDICINE CLINIC, INC
Lumpkin, GA 31815

Phone: (703) 593-6154

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 046872 (GA)

Frequently Asked Questions

NPI 1346590148 is the National Provider Identifier for PROVIDENCE FAMILY MEDICINE CLINIC, INC, a Family Medicine provider located in Lumpkin, GA. This NPI was enumerated on September 19, 2012.

Quick Facts

NPI
1346590148
Type
Organization
Enumerated
Sep 19, 2012
Last Updated
Sep 19, 2012

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