Wayne Sjc Medical Group, Llc

NPI 1538421177 - Internal Medicine - 207RC0200X

NPI Details
NPI 1538421177
Enumeration Date 06/11/2012
Last Updated 08/14/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PAUL PAUL
Position CEO
Phone (912) 427-7790
Fax (912) 427-7707
Practice Location
320 PEACHTREE ST
JESUP GA, 31545-0244, US
Phone (912) 427-7790
Fax (912) 427-7707
Business Location
320 PEACHTREE ST
JESUP GA, 31545-0244, US
Phone (912) 427-7790
Fax (912) 427-7707
Toxanomy
Taxonomy Code 207RC0200X
License State
License Number
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According to our database, Wayne Sjc Medical Group, Llc NPI is 1538421177, taxonomy code is 207RC0200X Wayne Sjc Medical Group, Llc physically located at 320 Peachtree St, Jesup GA, 31545-0244. NPI Number 1033115704 has the healthcare provider type.

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1538421177 NPI number is provided on an as is basis without warranty of any kind. 1538421177 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Sjc Medical Group, Llc are for informational purposes only.