11D2071751 CLIA NUMBER - BOWDON FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 11D2071751

Facility Name: BOWDON FAMILY MEDICINE

Facility Address:
307 WEST COLLEGE STREET
BOWDON, GA
ZIP 30108
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Facility Phone Number: 678 257-5182

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972936805

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	11D2071751
LAB Type	Physician Office
Facility Name	BOWDON FAMILY MEDICINE
Street	307 WEST COLLEGE STREET
City	BOWDON
State	GA
ZIP	30108
Phone	678 257-5182
CertificateType	4
CertificateEffectiveDate	5/4/2023
CertificateExpirationDate	5/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024