Organization
912 HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL HULETT FNP-BC (OWNER)
(912) 253-5040
Entity
Organization
Contact information
Practice address
85 N MAIN ST, BAXLEY, GA 31513-0567
(912) 253-5040
Mailing address
PO BOX 1578, BAXLEY, GA 31515-1578
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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