Organization
MID GEORGIA TOTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BIERSCHENK (CEO)
(478) 344-2550
Entity
Organization
Contact information
Practice address
1111 GRIFFIN AVE, STE 1B, EASTMAN, GA 31023-9104
(478) 374-8998
(478) 374-8525
Mailing address
1111 GRIFFIN AVE, STE 1B, EASTMAN, GA 31023-9104
(478) 374-8998
(478) 374-8525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Enumeration date
03/27/2015
Last updated
03/30/2015
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