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Crisp General Internal Medicine Inc
Medical Specialty Clinic/Center in Cordele, Georgia
NPI 1669632014

Crisp General Internal Medicine Inc is a Medical Specialty Clinic/Center based in Cordele, GA and is specialized in Medical Specialty. Crisp General Internal Medicine Inc practices in Cordele, GA. The NPI Number for Crisp General Internal Medicine Inc is 1669632014 and holds a License No. 060593 (Georgia).

The current practice location address for Crisp General Internal Medicine Inc is 416 E 4Th Ave Ste B, Cordele, GA and can be reached out via phone at 229-273-8501 and via fax at 229-273-2515.

Location: 416 E 4Th Ave Ste B, Cordele, GA, 31015-2096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669632014
Provider Name
Crisp General Internal Medicine Inc
Credential
Provider Entity Type
Organization
Address
416 E 4Th Ave Ste B, Cordele, GA, 31015-2096
Phone Number
229-273-8501
Fax Number
229-273-2515
Provider Enumeration Date
06/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
416 E 4Th Ave Ste B
City
Cordele
State
Georgia
Zip
31015-3729
Phone Number
229-273-8501
Fax Number
229-273-2515
person
Provider Business Mailing Address Details
Address
416 E 4Th Ave Ste B
City
Cordele
State
Georgia
Zip
31015-3729
Phone Number
229-273-8501
Fax Number
229-273-2515
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
060593 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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