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WARNER ROBINS PRIMARY CARE LLC NPI 1184117863


NPI Information

NPI: 1184117863
Provider Name: WARNER ROBINS PRIMARY CARE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
104 BORDERS WAY STE 500
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 333-2182
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WARNER ROBINS PRIMARY CARE, LLC is a primary care clinic center in Warner Robins, GA. WARNER ROBINS PRIMARY CARE, LLC NPI is 1184117863. The provider is registered as an organization entity type.

The provider's business location address is:

104 BORDERS WAY STE 500
WARNER ROBINS, GA
ZIP 31088-967
Phone: (478) 333-2182

The provider's authorized official is Darla Nicole Jackson .
The authorized official title is Ceo and has the following contact phone number (478) 352-0422.

The enumeration date for this NPI number is 6/7/2018 and was last updated on 2/27/2019.


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
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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