DOROTHY SALLIS-STEWART MD PC NPI 1568747103

NPI Information

NPI: 1568747103
Provider Name: DOROTHY SALLIS-STEWART MD, PC

Doing Business As: J. I. L. FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
325 N COBB ST
SUITE A
MILLEDGEVILLE, GA
ZIP 31061
Phone: (478) 453-2606
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DOROTHY SALLIS-STEWART MD, PC is a primary care clinic center in Milledgeville, GA. DOROTHY SALLIS-STEWART MD, PC NPI is 1568747103. The provider is registered as an organization entity type.
The provider Is Doing Business As J. I. L. Family Health Center.

The provider's business location address is:

325 N COBB ST
SUITE A
MILLEDGEVILLE, GA
ZIP 31061-640
Phone: (478) 453-2606
Fax: (478) 453-2655

The provider's authorized official is Dorothy Sallis Stewart .
The authorized official title is Owner and has the following contact phone number (478) 453-2606.

The enumeration date for this NPI number is 10/14/2011 and was last updated on 10/18/2011.

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
1	261QP2300X	Clinic/Center	Primary Care	046565	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000810345B	MEDICAID	GEORGIA

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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