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Organization
RURAL PRIMARY CARE SOUTH-WALTON, INC.
Active
Organization
RURAL PRIMARY CARE SOUTH-WALTON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PATTON RN (PRACTICE MANAGER)
(850) 420-5420
Entity
Organization
Contact information
Practice address
5551 US HIGHWAY 98, SUITE 2, SANTA ROSA BEACH, FL 32459
(850) 420-5420
(850) 244-8011
Mailing address
5551 US HIGHWAY 98, SUITE 2, SANTA ROSA BEACH, FL 32459
(850) 420-5420
(850) 244-8011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110818301
—
FL
Enumeration date
12/19/2019
Last updated
02/04/2022
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