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Organization

GEORGIA PHYSICIANS SOUTH, P.C.

Active
Other names
Blackshear Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
TANNIS ALLIGOOD M.D. (PRESIDENT)
(912) 462-8920
Entity
Organization

Contact information

Practice address
71 JOHNSON ST, NAHUNTA, GA 31553-4032
(912) 462-8920
(912) 462-5184
Mailing address
PO BOX 1005, NAHUNTA, GA 31553-1005
(912) 462-8920
(912) 462-5184

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
11/06/2014
Last updated
11/06/2014
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