LOCUST GROVE FAMILY MEDICINE

Non-Pharmacy Dispensing Site

Active Organization
NPI: 1629169164

Practice Address

3778 HIGHWAY 42
Locust Grove, GA 30248

Phone: (678) 610-6649

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 053715 (GA)
Non-Pharmacy Dispensing Site 332900000X Yes 053715 (GA)

Frequently Asked Questions

NPI 1629169164 is the National Provider Identifier for LOCUST GROVE FAMILY MEDICINE, a Non-Pharmacy Dispensing Site provider located in Locust Grove, GA. This NPI was enumerated on September 28, 2006.

Quick Facts

NPI
1629169164
Type
Organization
Enumerated
Sep 28, 2006
Last Updated
Mar 14, 2016

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