Bacon County Family Medicine, LLC
Organization Active NPI Family Medicine Physician · Alma, GA
NPI 1356475644 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356475644
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 057735 (GA)
- Legal business name
- BACON COUNTY FAMILY MEDICINE, LLC
- Practice address
- 205 South Wayne Street
Alma, GA 31510 - Phone
- (912) 632-8991
- Fax
- (912) 632-2684
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael R. Nulph, M.D.
- Title
- Owner
- Phone
- (912) 632-8991
Practitioners 1
-
Michael R. Nulph, M.D.
National Provider Directory
Locations
205 S Wayne St
Alma, GA 31510
Phone (912) 383-9789
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 057735 | GA | Yes |
Addresses
Primary practice location
205 South Wayne Street
Alma, GA 31510
Mailing address
205 South Wayne Street
Alma, GA 31510
Phone (912) 632-8991
Other providers in Alma, GA
- American Oncology Partners, P.a.
- Kymberly D Anderson
- Bacon County Board of Education
- Bacon County Board of Health
- Bacon County Commissioners
- Bacon County Health Services, Inc
- Bacon County Health Services, Inc.
- Bacon County Health Services, Inc.
- Bacon County Health Services, Inc.
- Bacon County Health Services, Inc.
All providers in Alma, GA · Family Medicine Physician 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 22, 2020. 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.