Milledgeville Family Practice Center P.c. | |
540 W Thomas St Ste B Milledgeville GA 31061-2745 | |
(478) 453-9435 | |
(478) 453-9436 |
Full Name | Milledgeville Family Practice Center P.c. |
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Speciality | Family Medicine |
Location | 540 W Thomas St Ste B, Milledgeville, Georgia |
Authorized Official Name and Position | Charles I Caulton (DOCTOR) |
Authorized Official Contact | 4784539435 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Milledgeville Family Practice Center P.c. 540 W Thomas St Ste B Milledgeville GA 31061-2745 Ph: (478) 453-9435 | Milledgeville Family Practice Center P.c. 540 W Thomas St Ste B Milledgeville GA 31061-2745 Ph: (478) 453-9435 |
NPI Number | 1215111992 |
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Provider Enumeration Date | 12/18/2007 |
Last Update Date | 12/18/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215111992 | NPI | - | NPPES |
00201517A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18004 (Georgia) | Primary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 18004 (Georgia) | Secondary |
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