Physician Home Services, LLC
Clinic/Center, Primary Care in Oxford, GA. Organization (NPI-2).
NPI number1982145041
StatusActive
Last updated in NPPESMar 9, 2017
Details
- NPI
- 1982145041
- Entity type
- Organization (NPI-2)
- Legal business name
- Physician Home Services, LLC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2017
- Last updated
- Mar 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
70 Highlands LnOxford, GA 30054-2928
Phone 470-447-9883
Mailing address
70 Highlands LnOxford, GA 30054-2928
Phone 470-447-9883
Authorized official
Daniel L Edwards
Ceo
4704479883
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