Organization
OUR FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LYNN PLASTER M.D. (PHYSICIAN/DIRECTOR)
(770) 464-0280
Entity
Organization
Contact information
Practice address
1016 E SPRING ST, MONROE, GA 30655-2469
(770) 464-0280
(770) 464-0233
Mailing address
1016 E SPRING ST, MONROE, GA 30655-2469
(770) 464-0280
(770) 464-0233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
061639
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514756688A
—
GA
Enumeration date
11/22/2008
Last updated
09/04/2015
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