Organization
DANIELSVILLE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MONROE HAYMORE III MD (OWNER)
(706) 795-5211
Entity
Organization
Contact information
Practice address
479 HIGHWAY 98 E, DANIELSVILLE, GA 30633-5829
(706) 795-5211
(706) 795-2519
Mailing address
479 HIGHWAY 98 E, DANIELSVILLE, GA 30633
(706) 795-5211
(706) 795-2519
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
009721
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000755235A
—
GA
Enumeration date
09/21/2007
Last updated
03/26/2010
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