Organization
GRADY PRIMARY CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ALLISON DEKLE MD (OWNER)
(229) 378-2214
Entity
Organization
Contact information
Practice address
235 1ST AVE NE, CAIRO, GA 39828-2118
(229) 378-2214
(229) 378-2250
Mailing address
235 1ST AVE NE, CAIRO, GA 39828-2118
(229) 378-2214
(229) 378-2250
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
19509
GA
Other
Enumeration date
07/07/2008
Last updated
02/12/2016
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