LAURENS COUNTY VOLUNTEERS IN MEDICINE
Ambulatory Health at Telfair St, Dublin, GA

License number
Georgia 009683
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
Owner
Name: ROBERT O. OLIVER M.D,
Title: CHAIRMAN
Phone: (478) 272-3446
Address
Address 2
1506 Telfair St, Dublin, GA 31021
4132 Dunmore Dr, Lake Wales, FL 33859
National Provider ID: 1487837134
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAURENS COUNTY VOLUNTEERS IN MEDICINE, INC

Dublin, GA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Mar 30, 2004
Inactive since:
Dec 31, 2009
Addresses:
1101-L Hillcrest Pkwy Pbm #108, Dublin, GA 31021 (Physical)
1506 Telfair St, Dublin, GA 31021
State ID:
0421069
Business type:
Domestic Nonprofit Corporation
Chief Financial Officers:
Chris Cook (CFO, Chief Financial Officer), 600 Bellevue Ave, Dublin, GA 31021 (Physical),D. Darla Myers (Secretary), 682 Jones Ln, Dublin, GA 31021 (Physical),W Robert Oliver (CEO), 217 Wl Cir, Dublin, GA 31021 (Physical),...
Agent:
Johnny W.warren,1105 Hillcrest Pkwy, Dublin, GA 31021 (Physical)

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