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Doerun Family Medicine Clinic
Rural Health Clinic/Center in Doerun, Georgia
NPI 1992147573

Doerun Family Medicine Clinic is a Rural Health Clinic/Center based in Doerun, GA and is specialized in Rural Health. Doerun Family Medicine Clinic practices in Doerun, GA. The NPI Number for Doerun Family Medicine Clinic is 1992147573 and holds a License No. (Georgia).

The current practice location address for Doerun Family Medicine Clinic is 128 West Broad Ave, Doerun, GA and can be reached out via phone at 229-891-9131 and via fax at 229-891-9079.

Location: 128 West Broad Ave, Doerun, GA, 31744-0624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992147573
Provider Name
Doerun Family Medicine Clinic
Credential
Provider Entity Type
Organization
Address
128 West Broad Ave, Doerun, GA, 31744-0624
Phone Number
229-891-9131
Fax Number
229-891-9079
Provider Enumeration Date
07/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11-8911 01 GA MEDICARE PART A
003157266A 05 GA
institution
Provider Business Practice Location Address Details
Address
128 West Broad Ave
City
Doerun
State
Georgia
Zip
31744
Phone Number
229-891-9131
Fax Number
229-891-9079
person
Provider Business Mailing Address Details
Address
128 West Broad Ave
City
Doerun
State
Georgia
Zip
31744
Phone Number
229-891-9131
Fax Number
229-891-9079
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
(Georgia)
Definition
Definition to come...
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