| Concierge Clinic | |
|
152 Station Dr Leesburg GA 31763-5631 | |
| (229) 814-8426 | |
| Not Available |
| Full Name | Concierge Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 152 Station Dr, Leesburg, Georgia |
| Authorized Official Name and Position | Audrea Vaughan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9548257615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Clinic 152 Station Dr Leesburg GA 31763-5631 Ph: (229) 814-8426 | Concierge Clinic 152 Station Dr Leesburg GA 31763-5631 Ph: (229) 814-8426 |
| NPI Number | 1942885611 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 03/30/2021 |
| Certification Date | 03/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942885611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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