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Organization
PRIMARY FAMILY MEDICINE L.L.C
Active
Organization
PRIMARY FAMILY MEDICINE L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERIAL WALID M.D (M.D)
(478) 922-6685
Entity
Organization
Contact information
Practice address
110 WOODCREST BLVD, WARNER ROBINS, GA 31093-8824
(478) 922-6685
(478) 922-6686
Mailing address
4856 GUERRY DR, MACON, GA 31210-4104
(478) 960-1804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55461
GA
Other
Enumeration date
07/14/2008
Last updated
01/08/2009
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