United Physicians Of Georgia, Llc

NPI 1538427570 - Family Medicine - 207Q00000X

NPI Details
NPI 1538427570
Enumeration Date 04/27/2012
Last Updated 04/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DWAYNE D DWAYNE
Position CEO
Phone (803) 807-9533
Fax (877) 903-1383
Practice Location
7335 OLD NATIONAL HWY
RIVERDALE GA, 30296-1607, US
Phone (803) 807-9533
Fax (877) 903-1383
Business Location
101 RICE BENT WAY
SUITE 12
COLUMBIA SC, 29229-6849, US
Phone (803) 807-9533
Fax (877) 903-1383
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, United Physicians Of Georgia, Llc NPI is 1538427570, taxonomy code is 207Q00000X United Physicians Of Georgia, Llc physically located at 7335 Old National Hwy, Riverdale GA, 30296-1607. NPI Number 1033115704 has the healthcare provider type.

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1538427570 NPI number is provided on an as is basis without warranty of any kind. 1538427570 is maintained by the National Plan & Provider Enumeration System. The contents of United Physicians Of Georgia, Llc are for informational purposes only.