# MILLEDGEVILLE FAMILY PRACTICE CENTER P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILLEDGEVILLE FAMILY PRACTICE CENTER P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215111992
- **Legal business name:** MILLEDGEVILLE FAMILY PRACTICE CENTER P.C.
- **Authorized official:** DR. CHARLES I CAULTON M.D. (DOCTOR)
- **Authorized official phone:** (478) 453-9435

## Contact information

- **Practice address:** 540 W THOMAS ST STE B, MILLEDGEVILLE, GA 31061-2745
- **Practice address phone:** (478) 453-9435
- **Practice address fax:** (478) 453-9436
- **Mailing address:** 540 W THOMAS ST STE B, MILLEDGEVILLE, GA 31061-2745
- **Mailing address phone:** (478) 453-9435
- **Mailing address fax:** (478) 453-9436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18004 | GA | Yes |
| 207VX0000X | Obstetrics Physician | 18004 | GA | — |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 12/18/2007