BACCHUS OPERATIONS GROUP INC NPI 1184051567

NPI Information

  • NPI: 1184051567
  • Provider Name: BACCHUS OPERATIONS GROUP, INC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: FLINT RIVER URGENT CARE
  • Address: 502 SUMTER ST
    SUITE B
    MONTEZUMA, GA
    ZIP 31063
  • Phone: (478) 472-8178

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NPI Details

BACCHUS OPERATIONS GROUP, INC is an urgent care clinic center in Montezuma, GA. BACCHUS OPERATIONS GROUP, INC NPI is 1184051567. The provider is registered as an organization entity type.
The provider Is Doing Business As Flint River Urgent Care.

The provider's business location address is:

502 SUMTER ST
SUITE B
MONTEZUMA, GA
ZIP 31063-734
Phone: (478) 472-8178
Fax: (478) 472-3289

The provider's authorized official is Philip H Eastman, Iii .
The authorized official title is Ceo and has the following contact phone number (770) 904-6731.

The enumeration date for this NPI number is 10/1/2013 and was last updated on 10/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent Care094391GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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