Healthcare Provider Details
I. General information
NPI: 1659005288
Provider Name (Legal Business Name): ALBANY AREA PRIMARY HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2022
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 PALMYRA ROAD
ALBANY GA
31701-1572
US
IV. Provider business mailing address
2408 WESTGATE DR
ALBANY GA
31707-2277
US
V. Phone/Fax
- Phone: 229-434-1400
- Fax: 229-434-0040
- Phone: 229-888-6559
- Fax: 229-436-4107
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SHELLEY
SPIRES
Title or Position: CEO
Credential:
Phone: 229-888-6559