Organization
BACON COUNTY FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R. NULPH M.D. (OWNER)
(912) 632-8991
Entity
Organization
Contact information
Practice address
205 SOUTH WAYNE STREET, ALMA, GA 31510
(912) 632-8991
(912) 632-2684
Mailing address
205 SOUTH WAYNE STREET, ALMA, GA 31510
(912) 632-8991
(912) 632-2684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
057735
GA
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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