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Organization
PANHANDLE FAMILY MEDICINE, LLC
Active
Organization
PANHANDLE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AYSHIA ELLIS HATCHER MSM (PRACTICE MANAGER)
(850) 638-4555
Entity
Organization
Contact information
Practice address
310 E BYRD AVE, SUITE B, BONIFAY, FL 32425-3068
(850) 547-4555
Mailing address
877 3RD ST, SUITE 4, CHIPLEY, FL 32428-1827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8371
FL
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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