Organization
CAAP MEDICAL GROUP
Active
Other names
Jefferson Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A HARRIS (DIRECTOR)
(706) 208-1990
Entity
Organization
Contact information
Practice address
1689 OLD PENDERGRASS ROAD SUITE 340, JEFFERSON, GA 30549-2716
(706) 708-2344
(706) 708-2342
Mailing address
1181 LANGFORD DR BUILDING 100 STE 103, WATKINSVILLE, GA 30677-7242
(706) 208-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
725588860A
—
GA
Enumeration date
08/24/2022
Last updated
12/13/2022
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