Organization
CENTER FOR FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN PLEMONS (BILLING MANAGER)
(706) 657-3360
Entity
Organization
Contact information
Practice address
111 N PINE ST, TRENTON, GA 30752-2503
(706) 657-3360
(706) 657-4400
Mailing address
PO BOX 1077, TRENTON, GA 30752-1077
(706) 657-3360
(706) 657-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300035685A
—
GA
05
—
3863934
—
TN
01
—
4064254
BCBST
TN
Enumeration date
04/26/2006
Last updated
06/10/2016
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