Organization
GORE MEDICAL MANAGEMENT
Active
Other names
Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA LONG (OFFICE MANAGER)
(770) 228-2641
Entity
Organization
Contact information
Practice address
1657 N EXPRESSWAY, GRIFFIN, GA 30223-1276
(770) 228-2641
(770) 467-9764
Mailing address
1657 N EXPRESSWAY, GRIFFIN, GA 30223-1276
(770) 228-2641
(770) 467-9764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042539
GA
Other
Enumeration date
09/14/2006
Last updated
10/05/2012
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