Organization
FAMILY TOTAL HEALTHCARE LLC
Active
Parent organization
ALTAMAHA MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALTAMAHA MEDICAL CLINIC
Authorized official
MR. GARLAND MARTIN MD (MEDICAL DIRECTOR)
(912) 367-5525
Entity
Organization
Contact information
Practice address
509 JACKSON ST, VIDALIA, GA 30474-4720
(912) 537-2564
(912) 538-9391
Mailing address
PO BOX 627, VIDALIA, GA 30475-0627
(912) 537-2564
(912) 538-9391
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR001572
GA
207R00000X
Internal Medicine Physician
47233
GA
363L00000X
Nurse Practitioner
Primary
122840
GA
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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