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AMELIA MEDICAL SERVICES LLC NPI 1063825842


NPI Information

NPI: 1063825842
Provider Name: AMELIA MEDICAL SERVICES, LLC

Doing Business As: AMELIA MEDICAL CARE, FOLKSTON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2083966

Address:
3435 SECOND ST S
FOLKSTON, GA
ZIP 31537
Phone: (912) 496-0041
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AMELIA MEDICAL SERVICES, LLC is a family medicine in Folkston, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AMELIA MEDICAL SERVICES, LLC NPI is 1063825842. The provider is registered as an organization entity type.
The provider Is Doing Business As Amelia Medical Care, Folkston.

The provider's business location address is:

3435 SECOND ST S
FOLKSTON, GA
ZIP 31537-447
Phone: (912) 496-0041
Fax: (912) 496-0053

The provider's authorized official is Sue Matricia .
The authorized official title is Chief Operations Officer and has the following contact phone number (904) 583-3233.

The CLIA number assigned to this NPI record is 11D2083966 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2014 and was last updated on 10/26/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareGEORGIANo
2207Q00000XFamily Medicine31289GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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