Southern Internal Medicine LLC

NPI #1316121619 in Dublin, Georgia

Provider Information

NPI Number: 1316121619
Entity Type: Organization
Organization Name: Southern Internal Medicine LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 21, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 106 ROWE ST
City: Dublin
State: Georgia
ZIP Code: 31021-5238
Phone: (478) 272-0353

Authorized Official

Name: MANOJKUMAR CHANDULAL PATEL
Title: OFFICER
Phone: (478) 272-0353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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