Organization
CARON MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS E CARON MD (PRESIDENT)
(706) 857-2133
Entity
Organization
Contact information
Practice address
11638 HIGHWAY 27, SUITE 8, SUMMERVILLE, GA 30747-8514
(706) 857-2133
(706) 857-2139
Mailing address
11638 HIGHWAY 27, SUITE 8, SUMMERVILLE, GA 30747-8514
(706) 857-2133
(706) 857-2139
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
046377
GA
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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