| Mainstreet Family Practice | |
|
1201b N Main St La Fayette GA 30728-2150 | |
| (706) 638-1506 | |
| (706) 638-1507 |
| Full Name | Mainstreet Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1201b N Main St, La Fayette, Georgia |
| Authorized Official Name and Position | Pamela Ann Ballinger (OFFICE MANAGER) |
| Authorized Official Contact | 7066381506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainstreet Family Practice 1201b N Main St La Fayette GA 30728-2150 Ph: (706) 638-1506 | Mainstreet Family Practice 1201b N Main St La Fayette GA 30728-2150 Ph: (706) 638-1506 |
| NPI Number | 1144279399 |
|---|---|
| Provider Enumeration Date | 05/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144279399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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