Central Georgia Total Care, LLC
Family Medicine in Warner Robins, GA. Organization (NPI-2).
NPI number1710379649
StatusActive
Last updated in NPPESMar 2, 2015
Details
- NPI
- 1710379649
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Georgia Total Care, LLC
- Organization subpart
- No
- Enumeration date
- Mar 2, 2015
- Last updated
- Mar 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 021140 | GA | Yes |
Practice location
644 Tallulah TrlWarner Robins, GA 31088-7625
Phone 478-333-2100 · Fax 478-333-5201
Mailing address
644 Tallulah TrlWarner Robins, GA 31088-7625
Phone 478-333-2100 · Fax 478-333-5201
Authorized official
Ralph Austin
Owner
4787479317
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