FJP Medical
Organization Active NPI Pain Clinic/Center · Kingsland, GA
NPI 1346722964 · NPPES record last updated Aug 30, 2018
Key facts
- NPI
- 1346722964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Clinic/Center 261QP3300X
- License
- 65488 (GA)
- Legal business name
- FJP MEDICAL
- Practice address
- 140 The Lakes Blvd Ste C
Kingsland, GA 31548-6814 - Phone
- (912) 729-7246
- Fax
- (912) 729-2929
- NPI assigned
- Aug 30, 2018
- Organization subpart
- No
Authorized official
- Name
- Fred Joe Powell, MD
- Title
- Owner
- Phone
- (912) 729-7246
National Provider Directory
Locations
140 The Lakes Blvd
Ste C
Kingsland, GA 31548
Phone (912) 729-7246
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 65488 | GA | |
| Pain Clinic/Center | 261QP3300X | 65488 | GA | Yes |
Addresses
Primary practice location
140 The Lakes Blvd Ste C
Kingsland, GA 31548-6814
Mailing address
140 The Lakes Blvd Ste C
Kingsland, GA 31548-6814
Phone (912) 729-7246
Other names
- Powell Total Medical and Serenity
Other providers in Kingsland, GA
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- Angela May Evagash
- Sara Fanelli
- Allison Fender
- Cristina Fiaschi
- Christen Carol-Louise Flowers
- Frank D Kuitems MD PC
- Nadine Guediri Funston
- Gateway Behavioral Health Services
- Lisa Leanne Gentzler
All providers in Kingsland, GA · Pain Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.