Organization
GA PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE JACKSON (VP)
(469) 549-8616
Entity
Organization
Contact information
Practice address
160 CENTRAL AVE, TRION, GA 30753-1125
(706) 734-7302
(706) 734-7356
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/26/2019
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