Provider Demographics
NPI:1427529783
Name:BOWDON-MT ZION PRIMARY HEALTH CENTER INC.
Entity type:Organization
Organization Name:BOWDON-MT ZION PRIMARY HEALTH CENTER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-675-8669
Mailing Address - Street 1:1236 FRANKLIN PKWY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:GA
Mailing Address - Zip Code:30217-7508
Mailing Address - Country:US
Mailing Address - Phone:706-675-8669
Mailing Address - Fax:706-675-3303
Practice Address - Street 1:1236 FRANKLIN PKWY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:GA
Practice Address - Zip Code:30217-7508
Practice Address - Country:US
Practice Address - Phone:706-675-8669
Practice Address - Fax:706-675-3303
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOWDON-MT ZION PRIMARY HEALTH CENTER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-16
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty