| Fieldale Farms Family Medical Center | |
|
184 Professional Dr Unit B Baldwin GA 30511-4012 | |
| (706) 894-2714 | |
| (706) 894-2715 |
| Full Name | Fieldale Farms Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 184 Professional Dr Unit B, Baldwin, Georgia |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fieldale Farms Family Medical Center 5500 Maryland Way Brentwood TN 37027-4948 Ph: (844) 407-7557 | Fieldale Farms Family Medical Center 184 Professional Dr Unit B Baldwin GA 30511-4012 Ph: (706) 894-2714 |
| NPI Number | 1952465056 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952465056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Legacy Physician Consultants, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Peach Orchard Rd, Baldwin, GA 30511 Phone: 706-713-1904 |