# FAMILY TOTAL HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALTAMAHA MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457646770
- **Legal business name:** ALTAMAHA MEDICAL CLINIC
- **Authorized official:** MR. GARLAND MARTIN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (912) 367-5525

## Contact information

- **Practice address:** 509 JACKSON ST, VIDALIA, GA 30474-4720
- **Practice address phone:** (912) 537-2564
- **Practice address fax:** (912) 538-9391
- **Mailing address:** PO BOX 627, VIDALIA, GA 30475-0627
- **Mailing address phone:** (912) 537-2564
- **Mailing address fax:** (912) 538-9391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIR001572 | GA | — |
| 207R00000X | Internal Medicine Physician | 47233 | GA | — |
| 363L00000X | Nurse Practitioner | 122840 | GA | Yes |

## Other

- **Enumeration date:** 06/15/2011
- **Last updated:** 06/15/2011