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Locust Grove Family Medicine
Non-Pharmacy Dispensing Site in Locust Grove, Georgia
NPI 1629169164

Locust Grove Family Medicine is a Non-Pharmacy Dispensing Site based in Locust Grove, GA. Locust Grove Family Medicine practices in Locust Grove, GA. The NPI Number for Locust Grove Family Medicine is 1629169164 and holds a License No. 053715 (Georgia).

The current practice location address for Locust Grove Family Medicine is 3778 Highway 42, Locust Grove, GA and can be reached out via phone at 678-610-6649 and via fax at 678-610-6025.

Location: 3778 Highway 42, Locust Grove, GA, 30248-3632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629169164
Provider Name
Locust Grove Family Medicine
Credential
Provider Entity Type
Organization
Address
3778 Highway 42, Locust Grove, GA, 30248-3632
Phone Number
678-610-6649
Fax Number
678-610-6025
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3778 Highway 42
City
Locust Grove
State
Georgia
Zip
30248-3632
Phone Number
678-610-6649
Fax Number
678-610-6025
person
Provider Business Mailing Address Details
Address
3778 Highway 42
City
Locust Grove
State
Georgia
Zip
30248-3632
Phone Number
678-610-6649
Fax Number
678-610-6025
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
053715 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
053715 (Georgia)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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