Organization
FLINT RIVER MEDI CAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILP H EASTMAN III CEO (CHIEF EXECUTIVE OFFICE)
(770) 904-6731
Entity
Organization
Contact information
Practice address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3100
(478) 472-2412
Mailing address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3100
(478) 472-2412
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/27/2013
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