Organization
PORT CITY FAMILY MEDICINE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C HIGGINBOTHAM D.O. (CEO)
(229) 243-1045
Entity
Organization
Contact information
Practice address
502 WHEAT AVE, BAINBRIDGE, GA 39819-4325
(229) 243-1045
Mailing address
502 WHEAT AVE, BAINBRIDGE, GA 39819-4325
(229) 243-1045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28786
GA
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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