McIntosh Trail Family Practice
McIntosh Trail Family Practice is a Family Medicine Physician in Griffin, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
Practice location Address checks out
747 S Hill StGriffin, GA 30224-4830
Phone: (770) 228-5407
Fax: (770) 227-1430
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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 · Licence 029545 (GA) |
|---|
Record details
| NPI number | 1023230422 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Van — Owner · (770) 228-5407 |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | January 7, 2010 |
| Mailing address | 747 S Hill St, Griffin, GA 30224-4830 |
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