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General NPI Number Information
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NPI Number | 1124548300
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Entity Type | Organization
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Legal Business Name | PARTNERSHIP HEALTH CENTER
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 520 GRIFFIN AVE
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City | VALDOSTA
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State | GA
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Zip | 31601-6331
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Country | US
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Telephone | 229-245-0020
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Fax | 229-245-9855
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Provider Business Mailing Address
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Address Line | 520 GRIFFIN AVE
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City | VALDOSTA
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State | GA
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Zip | 31601-6331
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Country | US
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Telephone | 229-245-0020
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Fax | 229-245-9855
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOHN WALTER SPARKS
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Credential |
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Telephone | 229-245-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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