| Family Practice Of Habersham Pc | |
|
590 Historic Hwy 441 N Demorest GA 30535-1779 | |
| (706) 754-5511 | |
| (706) 754-5577 |
| Full Name | Family Practice Of Habersham Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 590 Historic Hwy 441 N, Demorest, Georgia |
| Authorized Official Name and Position | Beverly C Carter (MANAGER) |
| Authorized Official Contact | 7067541252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Habersham Pc Po Box 1779 Demorest GA 30535-1779 Ph: (706) 754-5511 | Family Practice Of Habersham Pc 590 Historic Hwy 441 N Demorest GA 30535-1779 Ph: (706) 754-5511 |
| NPI Number | 1124154794 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 12/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124154794 | NPI | - | NPPES |
| GRP3078 | Other | GA | MEDICARE GRP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 032741 (Georgia) | Primary |
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