OrganizationActive
Crisp General Internal Medicine Inc
NPI 1669632014 · Medical Specialty Clinic/Center · Cordele, GA
Provider details
- NPI number
- 1669632014
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Kevin Holloway, President
- License
- 060593 (GA)
Practice location
416 E 4th Ave Ste B
Cordele, GA 31015-3729
Phone: (229) 273-8501
Fax: (229) 273-2515
Mailing address
1801 Quail Run
Cordele, GA 31015-2096
Registry dates
- Enumerated
- 2008-06-10
- Last updated
- 2008-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.