Organization
HEADLEY FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM V HEADLEY JR. M.D. (OWNER)
(912) 427-7400
Entity
Organization
Contact information
Practice address
825 S 1ST ST, JESUP, GA 31545-0209
(912) 427-7400
(912) 385-2953
Mailing address
PO BOX 606, JESUP, GA 31598-0606
(912) 427-7400
(912) 385-2953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51471
GA
Other
Enumeration date
09/07/2011
Last updated
10/02/2012
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