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Organization
BACON COUNTY FAMILY MEDICINE, LLC
Active
Organization
BACON COUNTY FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R. NULPH M.D. (OWNER)
(912) 632-8991
Entity
Organization
Contact information
Practice address
205 SOUTH WAYNE STREET, ALMA, GA 31510
(912) 632-8991
(912) 632-2684
Mailing address
205 SOUTH WAYNE STREET, ALMA, GA 31510
(912) 632-8991
(912) 632-2684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
057735
GA
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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