# BLUFF DRIVE MEDICAL

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

## Provider details

- **NPI number:** 1659806248
- **Authorized official:** JOHN D FILSON PA (PROVIDER)
- **Authorized official phone:** (678) 897-9577

## Contact information

- **Practice address:** 954 MEMORIAL DR, GAINESVILLE, GA 30501-2334
- **Practice address phone:** (678) 897-9577
- **Mailing address:** 954 MEMORIAL DR, GAINESVILLE, GA 30501-2334
- **Mailing address phone:** (678) 897-9577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 003951 | GA | Yes |

## Other

- **Enumeration date:** 04/21/2017
- **Last updated:** 04/21/2017