Organization
CAPSTONE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BOZAARD (CRED/BILLING MANAGER)
(478) 333-6468
Entity
Organization
Contact information
Practice address
1023 KEITH DR, PERRY, GA 31069-2948
(478) 988-1100
(478) 988-8211
Mailing address
1023 KEITH DR, PERRY, GA 31069-2948
(478) 988-1100
(478) 988-8211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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