| Granland3 Llc | |
|
2622 Dawson Rd Albany GA 31707-1609 | |
| (229) 395-1264 | |
| Not Available |
| Full Name | Granland3 Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2622 Dawson Rd, Albany, Georgia |
| Authorized Official Name and Position | Robert Parrish (CEO) |
| Authorized Official Contact | 2294962472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granland3 Llc 158 Winship Dr Leesburg GA 31763-5319 Ph: (229) 496-2472 | Granland3 Llc 2622 Dawson Rd Albany GA 31707-1609 Ph: (229) 395-1264 |
| NPI Number | 1790332831 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 09/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790332831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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