Organization
FAMILY HEALTH CENTER OF ADEL, INC.
Active
Other names
Family Health Center of Adel
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIRAJ GOBERDHAN MD (OWNER)
(229) 896-1672
Entity
Organization
Contact information
Practice address
406 N PARRISH AVE, ADEL, GA 31620-2076
(229) 896-1672
(229) 896-1676
Mailing address
406 N PARRISH AVE, ADEL, GA 31620-2076
(229) 896-1672
(229) 896-1676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
934774
BLUE CROSS BLUE SHIELD
GA
Enumeration date
07/14/2006
Last updated
01/13/2009
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