Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOCUST GROVE FAMILY MEDICINE
Active OrganizationLOCUST GROVE FAMILY MEDICINE is a Non-Pharmacy Dispensing Site organization located in LOCUST GROVE, Georgia. NPI 1629169164 is currently active in the NPPES registry. Verify at CMS.
Non-Pharmacy Dispensing Site · LOCUST GROVE, GA
Registration Details
- NPI Number
- 1629169164
- Provider Type
- Organization
- NPI Issued
- Sep 28, 2006 (19.871940378586 yrs)
- Last Updated
- Mar 14, 2016
- Licenses
-
053715 (GA)053715 (GA)
Practice Information
- Address
-
3778 HIGHWAY 42LOCUST GROVE, GA, 302483632Browse GA providers · Browse ZIP 30248
- Phone
- 6786106649
- Fax
- 6786106025
- Primary Specialty
-
Non-Pharmacy Dispensing Site
332900000X
- Additional Specialty
- Non-Pharmacy Dispensing Site
Other Non-Pharmacy Dispensing Site Organizations in LOCUST GROVE, GA
| Name | NPI |
|---|---|
| WELLSTREET OF GEORGIA PC | 1720965700 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.