Boston Family Care Clinic, LLC
Clinic/Center, Urgent Care in Boston, GA. Organization (NPI-2).
NPI number1851636070
StatusActive
Last updated in NPPESJan 3, 2013
Details
- NPI
- 1851636070
- Entity type
- Organization (NPI-2)
- Legal business name
- Boston Family Care Clinic, LLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2012
- Last updated
- Jan 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Practice location
118 N Main StBoston, GA 31626-2257
Phone 229-236-0861 · Fax 229-236-0871
Mailing address
Po Box 1276Thomasville, GA 31799-1276
Phone 229-236-0861 · Fax 229-236-0871
Authorized official
Mark Allen Lee
President
2292004019
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