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Southern Family Walk-in
Family Nurse Practitioner in Baxley, Georgia
NPI 1588266977

Southern Family Walk-in is a Family Nurse Practitioner based in Baxley, GA and is specialized in Family. Southern Family Walk-in practices in Baxley, GA. The NPI Number for Southern Family Walk-in is 1588266977 and holds a License No. (Georgia).

The current practice location address for Southern Family Walk-in is 73 Sw Park Ave Ste B, Baxley, GA and can be reached out via phone at 912-705-8050 and via fax at 912-705-8051.

Location: 73 Sw Park Ave Ste B, Baxley, GA, 31513-0485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588266977
Provider Name
Southern Family Walk-in
Credential
Provider Entity Type
Organization
Address
73 Sw Park Ave Ste B, Baxley, GA, 31513-0485
Phone Number
912-705-8050
Fax Number
912-705-8051
Provider Enumeration Date
11/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235627464 05 GA
institution
Provider Business Practice Location Address Details
Address
73 Sw Park Ave Ste B
City
Baxley
State
Georgia
Zip
31513-0485
Phone Number
912-705-8050
Fax Number
912-705-8051
person
Provider Business Mailing Address Details
Address
73 Sw Park Ave Ste B
City
Baxley
State
Georgia
Zip
31513-0485
Phone Number
912-705-8050
Fax Number
912-705-8051
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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