Organization
MEDLINK GEORGIA INC
Active
Parent organization
MEDLINK GEORGIA INC
Other names
MEDLINK BOWMAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDLINK GEORGIA INC
Authorized official
DAVID WARD (CEO)
(706) 788-3234
Entity
Organization
Contact information
Practice address
206 E CHURCH ST, BOWMAN, GA 30624-2109
(706) 245-7361
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000471765B
—
GA
Enumeration date
08/30/2006
Last updated
05/03/2022
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