Organization
MEDICAL SPECIALISTS
Active
Parent organization
MEDICAL SPECIALISTS INC.
Other names
NORTH JEFFERSON MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL SPECIALISTS INC.
Authorized official
MR. GARY H BELL (ADMINISTRATOR)
(706) 554-5147
Entity
Organization
Contact information
Practice address
406 E BROAD ST, WRENS, GA 30833-1113
(706) 547-7008
(706) 547-6008
Mailing address
305 JONES AVE, WAYNESBORO, GA 30830-1510
(706) 544-5147
(706) 544-6111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00679775A
—
GA
01
—
CA6260
PALMETTO GBA RAILROAD
GA
Enumeration date
06/14/2006
Last updated
12/13/2011
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