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Organization

NORMAN PARK FAMILY MEDICINE CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES L MATNEY (CEO)
(229) 985-3420
Entity
Organization

Contact information

Practice address
139 EAST BROAD STREET, NORMAN PARK, GA 31771
(229) 769-3500
(229) 769-3501
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 769-3500
(229) 769-3501

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
GA

Other

Enumeration date
12/10/2013
Last updated
09/04/2025
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