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Gold Country Health Initiative, Llc
Addiction Medicine (Family Medicine) Physician in Jackson, California
NPI 1932666575

Gold Country Health Initiative, Llc is an Addiction Medicine (Family Medicine) Physician based in Stockton, CA and is specialized in Addiction Medicine. Gold Country Health Initiative, Llc practices in Jackson, CA. The NPI Number for Gold Country Health Initiative, Llc is 1932666575 and holds a License No. (California).

The current practice location address for Gold Country Health Initiative, Llc is 820/830 State Highway 88, Jackson, CA and can be reached out via phone at 209-610-1524.

Location: 820/830 State Highway 88, Jackson, CA, 95204-0057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932666575
Provider Name
Gold Country Health Initiative, Llc
Credential
Provider Entity Type
Organization
Address
820/830 State Highway 88, Jackson, CA, 95204-0057
Phone Number
209-610-1524
Fax Number
Provider Enumeration Date
03/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
820/830 State Highway 88
City
Jackson
State
California
Zip
95642
Phone Number
209-610-1524
Fax Number
person
Provider Business Mailing Address Details
Address
820/830 State Highway 88
City
Jackson
State
California
Zip
95642
Phone Number
209-610-1524
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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