Organization
MILLEDGEVILLE FAMILY PRACTICE CENTER P.C.
Active
Parent organization
MILLEDGEVILLE FAMILY PRACTICE CENTER P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLEDGEVILLE FAMILY PRACTICE CENTER P.C.
Authorized official
DR. CHARLES I CAULTON M.D. (DOCTOR)
(478) 453-9435
Entity
Organization
Contact information
Practice address
540 W THOMAS ST STE B, MILLEDGEVILLE, GA 31061-2745
(478) 453-9435
(478) 453-9436
Mailing address
540 W THOMAS ST STE B, MILLEDGEVILLE, GA 31061-2745
(478) 453-9435
(478) 453-9436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18004
GA
207VX0000X
Obstetrics Physician
18004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00201517A
—
GA
Enumeration date
12/18/2007
Last updated
12/18/2007
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