# MAYSVILLE FAMILY PRACTICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366648644
- **Authorized official:** MRS. DONNA ANN KINSEY OM (OFFICE MANAGER)
- **Authorized official phone:** (706) 652-2252

## Contact information

- **Practice address:** 14 HOMER STREET, MAYSVILLE, GA 30558-1738
- **Practice address phone:** (706) 652-2252
- **Practice address fax:** (706) 652-3444
- **Mailing address:** PO BOX 349, MAYSVILLE, GA 30558-0349
- **Mailing address phone:** (706) 652-2252
- **Mailing address fax:** (706) 652-3444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 030637 | GA | Yes |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 08/22/2020