Organization
MEDICAL CENTER FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MARSHBURN MD (PRESIDENT)
(706) 335-5155
Entity
Organization
Contact information
Practice address
45 MEDICAL CENTER CT, COMMERCE, GA 30529-1085
(706) 335-5155
(706) 335-5256
Mailing address
45 MEDICAL CENTER CT, COMMERCE, GA 30529-1085
(706) 335-5155
(706) 335-5256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030139
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00410484A
—
GA
01
—
D46015
UPIN
GA
Enumeration date
07/13/2007
Last updated
07/13/2007
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