Southwest Medical Clinic,inc.

NPI 1124096334 - Internal Medicine - 207R00000X

NPI Details
NPI 1124096334
Enumeration Date 03/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name OBINNA BONIFACE OBINNA
Position EXECUTIVE DIRECTOR/MANAGER
Phone (706) 672-4818
Fax (706) 672-4818
Practice Location
7007 WILLIAMS STREET
SUITE C, BOX 1120
GREENVILLE GA, 30222, US
Phone (706) 672-4818
Fax (706) 672-4818
Business Location
7007 WILLIAMS STREET
SUITE C, BOX 1120
GREENVILLE GA, 30222, US
Phone (706) 672-4818
Fax (706) 672-4818
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 042618
Remove 1124096334 NPI Number
 

According to our database, Southwest Medical Clinic,inc. NPI is 1124096334, taxonomy code is 207R00000X and license number is 042618, license state is located at Georgia. Southwest Medical Clinic,inc. physically located at 7007 Williams Street, Greenville GA, 30222. NPI Number 1033115704 has the healthcare provider type.

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1124096334 NPI number is provided on an as is basis without warranty of any kind. 1124096334 is maintained by the National Plan & Provider Enumeration System. The contents of Southwest Medical Clinic,inc. are for informational purposes only.