Organization Name: | THE PREVENTIVE AND FAMILY CARE CENTER OF GENESEE COUNTY PC |
NPI Number: | 1588633788 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE ORAA (BILLER) |
Mailing Address: | 2284 S Ballenger Hwy Suite H Flint |
State: | MI US |
Postal Code: | 485034653 |
Phone Number: | 8102335211 |
Fax Number: | 8102335740 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 02/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |