Organization
BLACKSHEAR FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA THRIFT (PRACTICE MANAGER)
(912) 449-1501
Entity
Organization
Contact information
Practice address
1218 ALICE ST, WAYCROSS, GA 31501-4525
(912) 284-9800
(912) 284-1711
Mailing address
1218 ALICE ST, WAYCROSS, GA 31501-4525
(912) 284-9800
(912) 284-1711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
05/09/2011
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