| Blackshear Family Practice | |
|
71 Johnson St Nahunta GA 31553-4032 | |
| (912) 462-8920 | |
| (912) 462-5184 |
| Full Name | Blackshear Family Practice |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 71 Johnson St, Nahunta, Georgia |
| Authorized Official Name and Position | Tannis Alligood (PRESIDENT) |
| Authorized Official Contact | 9124628920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackshear Family Practice Po Box 1005 Nahunta GA 31553-1005 Ph: (912) 462-8920 | Blackshear Family Practice 71 Johnson St Nahunta GA 31553-4032 Ph: (912) 462-8920 |
| NPI Number | 1710383526 |
|---|---|
| Provider Enumeration Date | 11/06/2014 |
| Last Update Date | 11/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710383526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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