Southwest Medical Clinic,inc.

NPI #1124096334 in Greenville, Georgia

Provider Information

NPI Number
1124096334
Entity Type
Organization
Organization Name
Southwest Medical Clinic,inc.
Primary Specialty
Internal Medicine
Enumeration Date
Mar 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
7007 WILLIAMS STREET
Address 2
SUITE C, BOX 1120
State
Georgia
ZIP Code
30222
Phone
(706) 672-4818

Authorized Official

Name
DR. OBINNA BONIFACE UBANI-EBERE, PH.D.
Title
EXECUTIVE DIRECTOR/MANAGER
Phone
(706) 672-4818

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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