| Southern Medical Clinic, Llc | |
|
5329 N Henry Blvd Stockbridge GA 30281-3224 | |
| (404) 761-1550 | |
| (404) 761-1558 |
| Full Name | Southern Medical Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5329 N Henry Blvd, Stockbridge, Georgia |
| Authorized Official Name and Position | Chirag R. Patel (PRESIDENT) |
| Authorized Official Contact | 4047611550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Medical Clinic, Llc 5329 N Henry Blvd Stockbridge GA 30281-3224 Ph: () - | Southern Medical Clinic, Llc 5329 N Henry Blvd Stockbridge GA 30281-3224 Ph: (404) 761-1550 |
| NPI Number | 1184975278 |
|---|---|
| Provider Enumeration Date | 09/28/2012 |
| Last Update Date | 09/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184975278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 45908 (Georgia) | Primary |
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