| Cunanan Medical Clinic Inc | |
|
109 Bullsboro Dr Newnan GA 30263 | |
| (770) 251-4140 | |
| (770) 251-7275 |
| Full Name | Cunanan Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 109 Bullsboro Dr, Newnan, Georgia |
| Authorized Official Name and Position | Romeo Miranda Cunanan (PRESIDENT) |
| Authorized Official Contact | 7702514140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cunanan Medical Clinic Inc 109 Bullsboro Dr Newnan GA 30263 Ph: (770) 251-4140 | Cunanan Medical Clinic Inc 109 Bullsboro Dr Newnan GA 30263 Ph: (770) 251-4140 |
| NPI Number | 1750441754 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 09/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750441754 | NPI | - | NPPES |
| 442780335A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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