SOUTHWEST GA PRIMARY CARE, LLC

NPI # 

Practice Address:

93 S Broad St

Ellaville, GA, 31806-0989

Practice Phone:

229-410-9965

Practice Fax:

229-937-9007

License Number:

33367

License State:

GA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X

Updated by NPPES on 6/5/2014. You can view the original data set for NPI # 1629400312 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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SOUTHWEST GA PRIMARY CARE, LLC's

CMS CPT® coding data

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