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Contact Information

C & C MEDICAL GROUP, INC.
1384 BATTLEFIELD PKWY
FORT OGLETHORPE, GA30742-4010
 Phone: 706-861-2700
 Fax: 706-861-2745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Clinic/Center

261Q00000X
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for C & C MEDICAL GROUP, INC.

NPI Number 1871649525
LBN Legal business name C & C MEDICAL GROUP, INC.
Authorized official CONNIE COUCH - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2007
Last updated 11/02/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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