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Contact Information

FAMILY SPECIALTY CARE LLC
4310 HARTLEY BRIDGE RD
MACON, GA31216
 Phone: 478-788-4007
 Fax: 478-788-5070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FAMILY SPECIALTY CARE LLC · (Female)

NPI Number 1144432048
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2007
Last updated 09/08/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # GA048078
  • GA License # GA051141
  • GA Medicaid 527716214A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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