| Mcintosh Trail Family Practice | |
|
747 S Hill St Griffin GA 30224-4830 | |
| (770) 228-5407 | |
| (770) 227-1430 |
| Full Name | Mcintosh Trail Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 747 S Hill St, Griffin, Georgia |
| Authorized Official Name and Position | David A Van (OWNER) |
| Authorized Official Contact | 7702285407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcintosh Trail Family Practice 747 S Hill St Griffin GA 30224-4830 Ph: (770) 228-5407 | Mcintosh Trail Family Practice 747 S Hill St Griffin GA 30224-4830 Ph: (770) 228-5407 |
| NPI Number | 1023230422 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023230422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 029545 (Georgia) | Primary |
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