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11D2073792 CLIA NUMBER - MEMORIAL HEALTH-FAMILY CARE RICHMOND HILL

Laboratory Demographics

CLIA Number: 11D2073792

Facility Name: MEMORIAL HEALTH-FAMILY CARE RICHMOND HILL

Facility Address:
3780 US HIGHWAY 17
RICHMOND HILL, GA
ZIP 31324
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Facility Phone Number: 912 350-7010

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1891861548

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 11D2073792
LAB Type Physician Office
Facility Name MEMORIAL HEALTH-FAMILY CARE RICHMOND HILL
Street 3780 US HIGHWAY 17
City RICHMOND HILL
State GA
ZIP 31324
Phone 912 350-7010
CertificateType 4
CertificateEffectiveDate 9/6/2022
CertificateExpirationDate 9/5/2024
FacilityType Waiver

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