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Organization
MARION FAMILY PRACTICE
Active
Organization
MARION FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMIE MCCLELLAN (OFFICE MANAGER)
(706) 577-5295
Entity
Organization
Contact information
Practice address
131 E 6TH AVE, BUENA VISTA, GA 31803-9714
(229) 277-9912
Mailing address
131 E 6TH AVE, BUENA VISTA, GA 31803-9714
(229) 277-9912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN041402
GA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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