| Houston Family Care at Bonaire | |
|
2510 Ga Highway 127 Kathleen GA 31047-2828 | |
| (478) 352-7143 | |
| (478) 352-7144 |
| Full Name | Houston Family Care at Bonaire |
|---|---|
| Speciality | Family Medicine |
| Location | 2510 Ga Highway 127, Kathleen, Georgia |
| Authorized Official Name and Position | Sean Steven Whilden (VP/CFO) |
| Authorized Official Contact | 4785427959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Family Care at Bonaire 2510 Ga Highway 127 Kathleen GA 31047-2828 Ph: (478) 352-7143 | Houston Family Care at Bonaire 2510 Ga Highway 127 Kathleen GA 31047-2828 Ph: (478) 352-7143 |
| NPI Number | 1497335194 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497335194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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