| Dougherty Co - Albany | |
|
114 N Jackson St Albany GA 31701-2583 | |
| (229) 439-8420 | |
| (571) 379-5265 |
| Full Name | Dougherty Co - Albany |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 114 N Jackson St, Albany, 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 |
|---|---|
| Dougherty Co - Albany 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Dougherty Co - Albany 114 N Jackson St Albany GA 31701-2583 Ph: (229) 439-8420 |
| NPI Number | 1245906528 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245906528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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