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NPI 1811141070

NPI 1811141070 : ACTION MEDICAL CENTER, LLC : MARTINEZ, GA

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General NPI Number Information
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    NPI Number           |    1811141070
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACTION MEDICAL CENTER, LLC 
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Dates
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    Enumeration Date     |    11/13/2008
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    Last Update Date     |    11/10/2025
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Provider Practice Location Address
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    Address Line         |    211 BOBBY JONES EXPY STE C
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    City                 |    MARTINEZ
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    State                |    GA
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    Zip                  |    30907-5250
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    Country              |    US
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    Telephone            |    706-860-3355
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    Fax                  |    706-860-8765
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Provider Business Mailing Address
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    Address Line         |    211 BOBBY JONES EXPY STE C
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    City                 |    MARTINEZ
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    State                |    GA
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    Zip                  |    30907-5250
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    Country              |    US
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    Telephone            |    706-860-3355
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    Fax                  |    706-860-8765
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KATHRYN ANN WEBB 
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    Credential           |    DC
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    Telephone            |    706-860-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    5326
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    9351
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    2391
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    License Number State |    GA
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Taxonomy #4
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    029172
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    License Number State |    GA
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Taxonomy #5
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    188785
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    License Number State |    GA
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Taxonomy #7
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    251208
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    License Number State |    GA
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Taxonomy #8
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    RN202093
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    License Number State |    GA
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Taxonomy #9
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    68199
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    License Number State |    GA
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