Organization
COMMUNITY CLINICS OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JAMES DI BLASI D.O. (PHYSICIAN)
(904) 482-9673
Entity
Organization
Contact information
Practice address
3 WASHINGTON AVE, GAINESVILLE, GA 30501-4135
(678) 707-8539
(678) 989-1605
Mailing address
3 WASHINGTON AVE, GAINESVILLE, GA 30501-4135
(678) 707-8539
(678) 989-1605
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
75206
GA
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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