Organization
SOUTHERN FAMILY WALK-IN
Active
Other names
Hormone and Diabetic Center of Lake Oconee
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE ALFERINK (OWNER)
(912) 278-0491
Entity
Organization
Contact information
Practice address
1129 LAKE OCONEE PKWY STE 104, EATONTON, GA 31024-9581
(912) 278-0491
Mailing address
1482 CRAVEN RD, BAXLEY, GA 31513-1318
(912) 278-0491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/10/2022
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