Organization
WARNER ROBINS PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA NICOLE JACKSON CADC II, SAP (CEO)
(478) 352-0422
Entity
Organization
Contact information
Practice address
104 BORDERS WAY STE 500, WARNER ROBINS, GA 31088-8967
(478) 333-2182
Mailing address
PO BOX 46, KATHLEEN, GA 31047-0046
(910) 689-5190
(888) 813-6815
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
02/27/2019
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