Pooler Parkway Internal Medicine, LLC

NPI #1376758581 in Pooler, Georgia

Provider Information

NPI Number: 1376758581
Entity Type: Organization
Organization Name: Pooler Parkway Internal Medicine, LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 143 CANAL ST
Address 2: SUITE 100
City: Pooler
State: Georgia
ZIP Code: 31322-6007
Phone: (912) 330-5149

Authorized Official

Name: PATTY PIERCE
Title: PRACTICE MANAGER
Phone: (912) 330-5143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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