Organization
BLUFF DRIVE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D FILSON PA (PROVIDER)
(678) 897-9577
Entity
Organization
Contact information
Practice address
954 MEMORIAL DR, GAINESVILLE, GA 30501-2334
(678) 897-9577
Mailing address
954 MEMORIAL DR, GAINESVILLE, GA 30501-2334
(678) 897-9577
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003951
GA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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