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Organization

ICH PHYSICIAN GROUP

Active
Other names
Irwin Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTAL CARVER (CFO)
(229) 468-3846
Entity
Organization

Contact information

Practice address
361 CARGILE RD, OCILLA, GA 31774-3606
(229) 468-3975
Mailing address
361 CARGILE RD, OCILLA, GA 31774-3606
(229) 468-3975

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
03/30/2020
Last updated
02/27/2025
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