| Supreme Internal Medicine | |
|
1207 Merchant Way Suite 201 Statesboro GA 30458-0861 | |
| (912) 243-9080 | |
| (912) 243-9084 |
| Full Name | Supreme Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1207 Merchant Way, Statesboro, Georgia |
| Authorized Official Name and Position | Hamilton Emokpae (OWNER) |
| Authorized Official Contact | 9122439080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Internal Medicine Po Box 2380 Statesboro GA 30459-2380 Ph: (912) 243-9080 | Supreme Internal Medicine 1207 Merchant Way Suite 201 Statesboro GA 30458-0861 Ph: (912) 243-9080 |
| NPI Number | 1891130647 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891130647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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