Organization
FAMILY CARE CLAYTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANIE WELCH NP (OWNER)
(912) 245-1145
Entity
Organization
Contact information
Practice address
790 441 HISTORIC HWY N, DEMOREST, GA 30535-4575
(706) 839-1001
Mailing address
PO BOX 449, VIDALIA, GA 30475-0449
(912) 538-0640
(912) 538-0168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
04/12/2023
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