# PORT CITY FAMILY MEDICINE, L.L.C.

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

## Provider details

- **NPI number:** 1467624056
- **Authorized official:** JAMES C HIGGINBOTHAM D.O. (CEO)
- **Authorized official phone:** (229) 243-1045

## Contact information

- **Practice address:** 502 WHEAT AVE, BAINBRIDGE, GA 39819-4325
- **Practice address phone:** (229) 243-1045
- **Mailing address:** 502 WHEAT AVE, BAINBRIDGE, GA 39819-4325
- **Mailing address phone:** (229) 243-1045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28786 | GA | Yes |

## Other

- **Enumeration date:** 03/24/2008
- **Last updated:** 03/24/2008