institution
Enterprise Family Healthcare
Primary Care Clinic/Center in Macon, Georgia
NPI 1861894495

Enterprise Family Healthcare is a Primary Care Clinic/Center based in Macon, GA and is specialized in Primary Care. Enterprise Family Healthcare practices in Macon, GA. The NPI Number for Enterprise Family Healthcare is 1861894495 and holds a License No. 040767 (Georgia).

The current practice location address for Enterprise Family Healthcare is 2192 Ingleside Ave, Macon, GA and can be reached out via phone at 478-745-9880 and via fax at 478-745-8611.

Location: 2192 Ingleside Ave, Macon, GA, 31204-2030
institution
Provider Profile Details
NPI Number
1861894495
Provider Name
Enterprise Family Healthcare
Credential
Provider Entity Type
Organization
Address
2192 Ingleside Ave, Macon, GA, 31204-2030
Phone Number
478-745-9880
Fax Number
478-745-8611
Provider Enumeration Date
09/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001579 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2192 Ingleside Ave
City
State
Zip
31204-2030
Phone Number
478-745-9880
Fax Number
478-745-8611
person
Provider Business Mailing Address Details
Address
2192 Ingleside Ave
City
State
Zip
31204-2030
Phone Number
478-745-9880
Fax Number
478-745-8611
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
040767 (Georgia)
Definition
Definition to come...
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