Organization
LAURENS COUNTY VOLUNTEERS IN MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT O. OLIVER M.D, (CHAIRMAN)
(478) 272-3446
Entity
Organization
Contact information
Practice address
1506 TELFAIR ST, DUBLIN, GA 31021-3908
(478) 272-3446
Mailing address
4132 DUNMORE DR, LAKE WALES, FL 33859-5742
(863) 324-1580
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
009683
GA
Other
Enumeration date
12/17/2007
Last updated
10/08/2008
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