Southside Medical Care Ii Llc | |
6325 Shannon Pkwy Suite D Union City GA 30291-1538 | |
(404) 943-0205 | |
(404) 943-0209 |
Full Name | Southside Medical Care Ii Llc |
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Speciality | Family Medicine |
Location | 6325 Shannon Pkwy, Union City, Georgia |
Authorized Official Name and Position | Alicia Holden (BILLING MANAGER) |
Authorized Official Contact | 4049430205 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southside Medical Care Ii Llc 5909 Peachtree Dunwoody Rd Ne Suite 900 Atlanta GA 30328-8102 Ph: (404) 943-0205 | Southside Medical Care Ii Llc 6325 Shannon Pkwy Suite D Union City GA 30291-1538 Ph: (404) 943-0205 |
NPI Number | 1972730562 |
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Provider Enumeration Date | 06/22/2009 |
Last Update Date | 06/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972730562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Georgia) | Primary |
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