Southwest Medical Clinic,inc. | |
7007 Williams Street Suite C, Box 1120 Greenville GA 30222 | |
(706) 672-4818 | |
(706) 672-4818 |
Full Name | Southwest Medical Clinic,inc. |
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Speciality | Internal Medicine |
Location | 7007 Williams Street, Greenville, Georgia |
Authorized Official Name and Position | Obinna Boniface Ubani-ebere (EXECUTIVE DIRECTOR/MANAGER) |
Authorized Official Contact | 7066724818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southwest Medical Clinic,inc. 7007 Williams Street Suite C, Box 1120 Greenville GA 30222 Ph: (706) 672-4818 | Southwest Medical Clinic,inc. 7007 Williams Street Suite C, Box 1120 Greenville GA 30222 Ph: (706) 672-4818 |
NPI Number | 1124096334 |
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Provider Enumeration Date | 03/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1124096334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 042618 (Georgia) | Primary |