| Full Name | |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 2524 Clio Rd, Flint, Michigan |
| Authorized Official Name and Position | Reginald Eugene Smith (PRESIDENT) |
| Authorized Official Contact | 8108134857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 13126 Flint MI 48501-3126 Ph: (810) 813-4857 | 2524 Clio Rd Flint MI 48504-7135 Ph: (810) 813-4857 |
| NPI Number | 1528385416 |
|---|---|
| Provider Enumeration Date | 05/01/2010 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528385416 | NPI | - | NPPES |
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