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NPI Code Detail

MEDICARE: ALAMO FAMILY CLINIC

MEDICARE: ALAMO FAMILY CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1801834114
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALAMO FAMILY CLINIC
Provider Business Mailing Address
First Line : 207 W RAILROAD ST
Second Line :
City : ALAMO
State : GA
Zip : 30411
Country : US
Telephone Number : 912-523-5113
Fax Number :
Provider Business Practice Location Address
First Line : 207 W RAILROAD ST
Second Line :
City : ALAMO
State : GA
Zip : 30411
Country : US
Telephone Number : 912-523-5113
Fax Number :
Authorized Official
Title or Position : PATIENT ACCOUNT REP
Name : CINDY VANN
Credential :
Telephone Number : 912-523-5113
Provider Enumeration Date : 06/02/2006
Last Update Date : 08/22/2020

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Directions to “ALAMO FAMILY CLINIC ” Practice Location

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