| Port City Family Medicine, L.l.c. | |
|
502 Wheat Ave Bainbridge GA 39819-4325 | |
| (229) 243-1045 | |
| Not Available |
| Full Name | Port City Family Medicine, L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 502 Wheat Ave, Bainbridge, Georgia |
| Authorized Official Name and Position | James C Higginbotham (CEO) |
| Authorized Official Contact | 2292431045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port City Family Medicine, L.l.c. 502 Wheat Ave Bainbridge GA 39819-4325 Ph: (229) 243-1045 | Port City Family Medicine, L.l.c. 502 Wheat Ave Bainbridge GA 39819-4325 Ph: (229) 243-1045 |
| NPI Number | 1467624056 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467624056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28786 (Georgia) | Primary |
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