# OCONEE FAMILY PRACTICE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134323033
- **Authorized official:** DR. MARK A. EARHART MD (CEO PHYSICIAN)
- **Authorized official phone:** (706) 769-1100

## Contact information

- **Practice address:** 1747 LANGFORD DR BLDG 400-105, BOGART, GA 30622-2670
- **Practice address phone:** (706) 769-1100
- **Practice address fax:** (706) 310-9847
- **Mailing address:** 1747 LANGFORD DR BLDG 400-105, BOGART, GA 30622-2670
- **Mailing address phone:** (706) 769-1100
- **Mailing address fax:** (706) 310-9847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 043361 | GA | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 02/04/2013