# ACCESS MEDICAL CLINIC GEORGIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACCESS MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730793639
- **Authorized official:** BRADLEY BIBB MD (CEO)
- **Authorized official phone:** (870) 856-1202

## Contact information

- **Practice address:** 304 N WESTBERRY ST, PERRY, GA 31069-3145
- **Practice address phone:** (229) 463-7071
- **Practice address fax:** (833) 606-0577
- **Mailing address:** 4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
- **Mailing address fax:** (870) 856-2107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2020
- **Last updated:** 08/25/2021