Organization
MEDICAL COLLEGE OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BUTTS HSA (HEALTH SERVICE ADMINISTRATOR)
(706) 444-1052
Entity
Organization
Contact information
Practice address
PRISON RD, SPARTA, GA 31081
(706) 444-1052
Mailing address
PO BOX 224, MILLEDGEVILLE, GA 31059-0224
(706) 444-1050
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
050206
GA
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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