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Contact Information

COMMUNITY PRIMARY CARE OF GEORGIA LLC
165 S BROAD ST
BUTLER, GA31006-5526
 Phone: 478-862-2220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for COMMUNITY PRIMARY CARE OF GEORGIA LLC · (Female)

NPI # 1730430968
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2012
Last updated 09/27/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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