Providence Family Medicine Clinic, Inc
Providence Family Medicine Clinic, Inc provides Family Medicine Physician services in Lumpkin, Georgia. Licensed in Georgia. Registered with an NPI since 2012.
- Licensed in
- GA
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1787 Broad Street Providence Family Medicine Clinic IncLumpkin, GA 31815 Not confirmed with CMS for 14 years — call before visiting
Phone: (703) 593-6154
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 046872 (GA) |
|---|
Record details
| NPI number | 1346590148 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sarita Mobley — Ceo · (703) 593-6154 |
| NPI enumerated | September 19, 2012 |
| Last updated in NPPES | September 19, 2012 |
| Mailing address | 1787 Broad St., P.O. Box 685, Lumpkin, GA 31815 |
Other providers in Lumpkin
-
Dr. Sarita Darlene Mobley, MD
1787 Broad St, Lumpkin, GA 31815-3045 · (229) 838-4900
-
Mrs. Sundari Raju, MD
126 E Broad St, Lumpkin, GA 31815 · (229) 838-0885