Organization
COMMUNITY CARE MOBILE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH TYMES RHODES DNP, FNP-BC (OWNER)
(229) 410-9174
Entity
Organization
Contact information
Practice address
169 PACKING HOUSE RD, AMERICUS, GA 31709-7932
(229) 410-9174
Mailing address
PO BOX 1636, AMERICUS, GA 31709-1636
(229) 410-9174
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/04/2024
Last updated
01/14/2025
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