RIDGEWAY FAMILY PRACTICE, PC
Ambulatory Health at Hospital Rd, Commerce, GA

License number
Georgia 2010001281-58996
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. BETH ANN SULLIVAN DO
Title: PRESIDENT
Phone: (706) 335-2034
Address
Address
641 Hospital Rd SUITE 3, Commerce, GA 30529
National Provider ID: 1679612733
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RIDGEWAY FAMILY PRACTICE, PC

Commerce, GA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Apr 30, 2004
Addresses:
641 Hospital Rd STE 3, Commerce, GA 30529 (Physical)
24 Minish Dr, Commerce, GA 30529
State ID:
0427547
Business type:
Domestic Professional Corporation
Chief Executive Officer, Managers:
Beth Sullivan (Ceo, President), 641 Hospital Rd SUITE 3, Commerce, GA 30529 (Physical),Michael Sullivan Secretary, Chief Financial Officer, inactive, 641 Hospital Rd SUITE 3, Commerce, GA 30529 (Physical),Christina Sullivan Office Manager, inactive,...
Agent:
Gary N. Freeman, Atty,4 Homer St, Maysville, GA 30558 (Physical)

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