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Organization
SACRED HEART MEDICAL GROUP
Active
Organization
SACRED HEART MEDICAL GROUP
Active
Other names
SHMG Primary Care at Magnolia
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN VALLIER (DIRECTOR)
(850) 804-3240
Entity
Organization
Contact information
Practice address
2421 THOMAS DR, PANAMA CITY, FL 32408-5808
(850) 804-3240
(850) 804-3245
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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