Organization
FAMILY CARE GROUP SOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL WILEY (PRESIDENT)
(706) 595-1090
Entity
Organization
Contact information
Practice address
315 FLUKER ST, THOMSON, GA 30824-2108
(706) 595-1090
(706) 595-6010
Mailing address
PO BOX 780, THOMSON, GA 30824-0780
(706) 595-1090
(706) 595-6010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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