Organization
G AND G FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GORDON (OFFICE MANAGER)
(229) 794-1794
Entity
Organization
Contact information
Practice address
209 EAST MAIN STREET, HAHIRA, GA 31632-1121
(229) 794-1794
(229) 794-9794
Mailing address
209 EAST MAIN STREET, HAHIRA, GA 31632-1121
(229) 794-1794
(229) 794-9794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD4690
RAILROAD MEDICARE
GA
Enumeration date
10/25/2006
Last updated
02/22/2010
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