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GEORGIA TELEHEALTH LLC NPI 1669236931


NPI Information

NPI: 1669236931
Provider Name: GEORGIA TELEHEALTH, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
110 NUTGALL DR
SAINT MARYS, GA
ZIP 31558
Phone: (706) 854-7555
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GEORGIA TELEHEALTH, LLC is a primary care clinic center in Saint Marys, GA. GEORGIA TELEHEALTH, LLC NPI is 1669236931. The provider is registered as an organization entity type.

The provider's business location address is:

110 NUTGALL DR
SAINT MARYS, GA
ZIP 31558-882
Phone: (706) 854-7555
Fax: (706) 854-7511

The provider's authorized official is Andrew Charles Caudill .
The authorized official title is Owner and has the following contact phone number (706) 854-7555.

The enumeration date for this NPI number is 2/7/2024 and was last updated on 2/7/2024.


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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