| Organization Name: | MILLEDGEVILLE FAMILLY PRACTICE CENTER P.C. |
| NPI Number: | 1033393723 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE W GRIMES (DOCTOR) |
| Mailing Address: | 540 W Thomas St Ste B Milledgeville |
| State: | GA US |
| Postal Code: | 310612745 |
| Phone Number: | 4784539435 |
| Fax Number: | 4784539436 |
| NPI Enumeration Date: | 12/18/2007 |
| NPI Last Update Date: | 12/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | 19830 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |