Frontline Internal Medicine Llc

NPI 1710328331 - Internal Medicine - 207R00000X

NPI Details
NPI 1710328331
Enumeration Date 07/11/2013
Last Updated 07/11/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name OGECHI H OGECHI
Position SOLO OWNER
Phone (912) 681-8999
Fax (912) 681-8989
Practice Location
6 LESTER RD
STATESBORO GA, 30458-4786, US
Phone (912) 681-8999
Fax (912) 681-8989
Business Location
PO BOX 1489
STATESBORO GA, 30459-1489, US
Phone (912) 681-8999
Fax (912) 681-8989
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 69221
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According to our database, Frontline Internal Medicine Llc NPI is 1710328331, taxonomy code is 207R00000X and license number is 69221, license state is located at Georgia. Frontline Internal Medicine Llc physically located at 6 Lester Rd, Statesboro GA, 30458-4786. NPI Number 1033115704 has the healthcare provider type.

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1710328331 NPI number is provided on an as is basis without warranty of any kind. 1710328331 is maintained by the National Plan & Provider Enumeration System. The contents of Frontline Internal Medicine Llc are for informational purposes only.