Organization
MEDLINK GEORGIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WARD PHD (CEO)
(706) 788-3234
Entity
Organization
Contact information
Practice address
11 CHARLIE MORRIS RD, COLBERT, GA 30628-2445
(706) 788-3234
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234
(706) 788-2936
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014RK
—
NC
05
—
GPA868
—
SC
Enumeration date
05/08/2006
Last updated
02/11/2025
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