Calhoun Medical Group LLC
Family Medicine in Calhoun, GA. Organization (NPI-2).
NPI number1972881423
StatusActive
Last updated in NPPESOct 18, 2012
Details
- NPI
- 1972881423
- Entity type
- Organization (NPI-2)
- Legal business name
- Calhoun Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Aug 2, 2011
- Last updated
- Oct 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
400 Timms Rd NeCalhoun, GA 30701-7016
Phone 706-625-0022 · Fax 706-625-3988
Mailing address
400 Timms Rd NeCalhoun, GA 30701-7016
Phone 706-625-0022 · Fax 706-625-3988
Authorized official
Harvey P Leblanc
Managing Member
7066250333
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