G and G Family Medicine

Organization Active NPI Family Medicine Physician · Hahira, GA

NPI 1386729945 · NPPES record last updated Feb 22, 2010

Key facts

NPI
1386729945
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
G AND G FAMILY MEDICINE
Practice address
209 East Main Street
Hahira, GA 31632-1121
Phone
(229) 794-1794
Fax
(229) 794-9794
NPI assigned
Oct 25, 2006
Organization subpart
No

Authorized official

Name
Patricia Gordon
Title
Office Manager
Phone
(229) 794-1794

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

209 East Main Street
Hahira, GA 31632-1121

Mailing address

209 East Main Street
Hahira, GA 31632-1121
Phone (229) 794-1794

Other identifiers

IdentifierTypeStateIssuer
DD4690OtherGARAILROAD MEDICARE

Other providers in Hahira, GA

All providers in Hahira, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.