Healthcare Provider Details

I. General information

NPI: 1568784056
Provider Name (Legal Business Name): ALBANY AREA PRIMARY HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2010
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 E. BROAD AVENUE
ALBANY GA
31705-2311
US

IV. Provider business mailing address

2408 WESTGATE DR
ALBANY GA
31707-2277
US

V. Phone/Fax

Practice location:
  • Phone: 229-883-6860
  • Fax: 229-888-6864
Mailing address:
  • Phone: 229-888-6559
  • Fax: 229-436-4107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SHELLEY SPIRES
Title or Position: CEO
Credential:
Phone: 229-888-6559