7 Western, Llc | |
51 Lindsey Ln Kingsland GA 31548-6836 | |
(912) 673-9355 | |
(912) 673-6532 |
Full Name | 7 Western, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 51 Lindsey Ln, Kingsland, Georgia |
Authorized Official Name and Position | Bryan C Weatherspoon (PRESIDENT) |
Authorized Official Contact | 9126739355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7 Western, Llc 51 Lindsey Ln Kingsland GA 31548-6836 Ph: (912) 673-9355 | 7 Western, Llc 51 Lindsey Ln Kingsland GA 31548-6836 Ph: (912) 673-9355 |
NPI Number | 1962605683 |
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Provider Enumeration Date | 06/08/2007 |
Last Update Date | 04/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962605683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 033482 (Georgia) | Primary |
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