# JESUP HEALTH CARE AND FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jesup Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316284102
- **Authorized official:** MR. ADNAN ALAM (OWNER)
- **Authorized official phone:** (912) 385-2146

## Contact information

- **Practice address:** 212 S 1ST ST, STE 2, JESUP, GA 31545-1136
- **Practice address phone:** (912) 385-2146
- **Practice address fax:** (912) 385-2156
- **Mailing address:** PO BOX 762, JESUP, GA 31598-0762
- **Mailing address phone:** (912) 385-2146
- **Mailing address fax:** (912) 385-2156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2013
- **Last updated:** 01/14/2013