Southside Medical Care
NPI #1376752311 in Union City, Georgia
Provider Information
- NPI Number
- 1376752311
- Entity Type
- Organization
- Organization Name
- Southside Medical Care
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 22, 2007
- Last Updated
- Jul 26, 2012
Practice Location
- Address
- 6325 SHANNON PKWY
- Address 2
- SUITE D
- City
- Union City
- State
- Georgia
- ZIP Code
- 30291-1538
- Phone
- (770) 964-1400
Authorized Official
- Name
- NICOLE QUADAGNO
- Title
- EXECUTIVE DIRECTOR
- Phone
- (770) 964-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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