Ensign Family Medicine LLC
Ensign Family Medicine LLC provides Family Medicine Physician services in Waycross, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1302 Plant AveWaycross, GA 31501-3537
Phone: (912) 490-5080
Fax: (912) 490-5081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1770224495 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shad Stormant — President · (912) 490-5080 |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | September 28, 2022 |
| Certification date | September 28, 2022 |
| Mailing address | 1302 Plant Ave, Waycross, GA 31501-3537 |
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