Organization
CLAY COUNTY MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN S KINSELL M.D. (PRESIDENT)
(229) 768-3888
Entity
Organization
Contact information
Practice address
305 WASHINGTON ST S, FORT GAINES, GA 39851-4315
(229) 768-3888
(229) 768-3889
Mailing address
PO BOX 281, FORT GAINES, GA 39851-0281
(229) 768-3888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000720189F
—
GA
01
—
11D0950627
CLIA
GA
Enumeration date
01/02/2007
Last updated
03/01/2018
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