Organization
BACCHUS OPERATIONS GROUP, INC
Active
Other names
Flint River Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP H EASTMAN, III (CEO)
(770) 904-6731
Entity
Organization
Contact information
Practice address
502 SUMTER ST, SUITE B, MONTEZUMA, GA 31063-1734
(478) 472-8178
(478) 472-3289
Mailing address
502 SUMTER ST, SUITE B, MONTEZUMA, GA 31063-1734
(478) 472-8178
(478) 472-3289
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
094391
GA
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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