Organization
FAMILY SPECIALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN J HAMPTON MD (OWNER)
(478) 788-4007
Entity
Organization
Contact information
Practice address
4310 HARTLEY BRIDGE RD, MACON, GA 31216
(478) 788-4007
(478) 788-5070
Mailing address
4310 HARTLEY BRIDGE RD, MACON, GA 31216
(478) 788-4007
(478) 788-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GA048078
GA
207Q00000X
Family Medicine Physician
GA051141
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527716214A
—
GA
Enumeration date
05/04/2007
Last updated
09/08/2022
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