Organization
BLACKSHEAR FAMILY PRACTICE
Active
Parent organization
GEORGIA PHYSICIANS SOUTH PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA PHYSICIANS SOUTH PC
Authorized official
LISA THRIFT (PRACTICE MANAGER)
(912) 449-1501
Entity
Organization
Contact information
Practice address
71 JOHNSON ST, NAHUNTA, GA 31553-4032
(912) 462-8920
(912) 449-9766
Mailing address
PO BOX 1005, NAHUNTA, GA 31553-1005
(912) 462-8920
(912) 449-9766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
10/14/2014
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