Screven County Family Medicine
Organization Active NPI Family Medicine Physician · Sylvania, GA
NPI 1407010689 · NPPES record last updated Jul 16, 2008
Key facts
- NPI
- 1407010689
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 058087 (GA)
- Legal business name
- SCREVEN COUNTY FAMILY MEDICINE
- Practice address
- 215 Mims Road
Sylvania, GA 30467 - Phone
- (912) 564-9285
- Fax
- (912) 564-2174
- NPI assigned
- Jul 16, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- SCREVEN COUNTY HOSPITAL
Authorized official
- Name
- Christine Degnon McFarlin, MD
- Title
- Physician
- Phone
- (912) 564-9285
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Screven Medical Associa
- Part of
- Screven Medical Associa
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 058087 | GA | Yes |
Addresses
Primary practice location
215 Mims Road
Sylvania, GA 30467
Mailing address
PO Box 1938
Sylvania, GA 30467
Phone (912) 564-9285
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251294760D | Medicaid | GA |
Other providers in Sylvania, GA
- Cynthia Laree Roper
- Stephanie Royals
- Alma Sabb
- Screven County Commissioners of Roads & Revenue
- Screven County Family Health Center, LLC
- Screven County Health Department
- Screven County Health Department
- Screven County Hospital
- Screven County Hospital LLC
- Screven County Hospital, LLC
All providers in Sylvania, 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 Jul 16, 2008. 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.