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Organization
MENLO FAMILY MEDICINE, PC
Active
Organization
MENLO FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE WITT FNP-C (OWNER)
(706) 857-8692
Entity
Organization
Contact information
Practice address
2968 HWY 337, MENLO, GA 30731-0147
(706) 862-1717
(706) 862-1718
Mailing address
PO BOX 147, 7TH AVE, MENLO, GA 30731-0147
(706) 862-1717
(706) 862-1718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN045044
GA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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