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2510 Ga Highway 127 Kathleen GA 31047-2828 | |
(478) 352-7143 | |
(478) 352-7144 |
Full Name | |
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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 |
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2510 Ga Highway 127 Kathleen GA 31047-2828 Ph: (478) 352-7143 | 2510 Ga Highway 127 Kathleen GA 31047-2828 Ph: (478) 352-7143 |
NPI Number | 1497335194 |
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Provider Enumeration Date | 04/08/2021 |
Last Update Date | 09/06/2023 |
Identifier | Type | State | Issuer |
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1497335194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Quincy Jordan Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 South Houston Lake Rd, #902, Kathleen, GA 31047 Phone: 877-610-2791 |