Organization
CLAY COUNTY COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GILL (PROVIDER ENROLLMENT SPECIALIST)
(470) 233-0545
Entity
Organization
Contact information
Practice address
305 WASHINGTON ST S, FORT GAINES, GA 39851-4315
(229) 768-3889
Mailing address
PO BOX 281, FORT GAINES, GA 39851-0281
(229) 768-3888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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