Organization
A & A FAMILY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELLA CHARLES-PRYCE M.D. (MEDICAL DIRECTOR)
(770) 296-9193
Entity
Organization
Contact information
Practice address
47 WHITEGRASS CT, GRAYSON, GA 30017-4180
(770) 296-9193
Mailing address
47 WHITEGRASS CT, GRAYSON, GA 30017-4180
(770) 296-9193
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
058155
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220156218
—
GA
Enumeration date
07/19/2014
Last updated
07/19/2014
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