ICH PHYSICIAN GROUP NPI 1649670894

NPI Information

  • NPI: 1649670894
  • Provider Name: ICH PHYSICIAN GROUP
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • Address: 134 FLEETWOOD AVE E
    WILLACOOCHEE, GA
    ZIP 31650
  • Phone: (912) 534-5142

Map and Directions

Get Directions

NPI Details

ICH PHYSICIAN GROUP is a rural health clinic center in Willacoochee, GA. ICH PHYSICIAN GROUP NPI is 1649670894. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

134 FLEETWOOD AVE E
WILLACOOCHEE, GA
ZIP 31650-730
Phone: (912) 534-5142
Fax: (912) 534-6120

The provider's authorized official is Krystal Carver .
The authorized official title is Cfo and has the following contact phone number (229) 468-3846.

The enumeration date for this NPI number is 8/25/2014 and was last updated on 2/27/2025.

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
1207R00000XInternal MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.