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11D2217927 CLIA NUMBER - DIRECT PATIENT CARE OF THOMASVILLE

Laboratory Demographics

CLIA Number: 11D2217927

Facility Name: DIRECT PATIENT CARE OF THOMASVILLE

Facility Address:
701 SOUTH HANSELL STREET
THOMASVILLE, GA
ZIP 31792
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Facility Phone Number: 229 233-6326

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1356955645

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 11D2217927
LAB Type Physician Office
Facility Name DIRECT PATIENT CARE OF THOMASVILLE
Street 701 SOUTH HANSELL STREET
City THOMASVILLE
State GA
ZIP 31792
Phone 229 233-6326
CertificateType 4
CertificateEffectiveDate 3/24/2023
CertificateExpirationDate 3/23/2025
FacilityType Waiver

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