Organization
CAIRO FAMILY MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA INEZ WALDEN M.D. (PRESIDENT & CEO)
(229) 377-0908
Entity
Organization
Contact information
Practice address
91 MLK JR AVE S.W., CAIRO, GA 39828
(229) 377-0908
(229) 377-1001
Mailing address
P.O. BOX 541, CAIRO, GA 39828
(229) 377-0908
(229) 377-1001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000673824B
—
GA
Enumeration date
01/19/2007
Last updated
08/19/2008
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