Organization
INTERCARE MEDICAL, CORP
Active
Other names
Intercare Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON C GIBBS M.D. (PHYSICIAN)
(706) 432-1111
Entity
Organization
Contact information
Practice address
3540 WHEELER RD STE 307, AUGUSTA, GA 30909-1887
(706) 432-1111
(706) 945-0638
Mailing address
62 CONIFER CIR, AUGUSTA, GA 30909-4506
(706) 465-6260
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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