Southern Internal Medicine Llc | |
106 Rowe St Dublin GA 31021-5238 | |
(478) 272-0353 | |
Not Available |
Full Name | Southern Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 106 Rowe St, Dublin, Georgia |
Authorized Official Name and Position | Manojkumar Chandulal Patel (OFFICER) |
Authorized Official Contact | 4782720353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Southern Internal Medicine Llc 106 Rowe St Dublin GA 31021-5238 Ph: () - | Southern Internal Medicine Llc 106 Rowe St Dublin GA 31021-5238 Ph: (478) 272-0353 |
NPI Number | 1316121619 |
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Provider Enumeration Date | 12/21/2007 |
Last Update Date | 12/21/2007 |
Medicare PECOS PAC ID | 5496824708 |
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Medicare Enrollment ID | O20080513000217 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316121619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Manojkumar C Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932134830 PECOS PAC ID: 8426075789 Enrollment ID: I20051026001152 |
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