Blackshear Family Practice | |
71 Johnson St Nahunta GA 31553-4032 | |
(912) 462-8920 | |
(912) 449-9766 |
Full Name | Blackshear Family Practice |
---|---|
Speciality | Family Medicine |
Location | 71 Johnson St, Nahunta, Georgia |
Authorized Official Name and Position | Lisa Thrift (PRACTICE MANAGER) |
Authorized Official Contact | 9124491501 |
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 | 1497962435 |
---|---|
Provider Enumeration Date | 05/17/2007 |
Last Update Date | 10/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497962435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |