Southside Internal Medicine PC

NPI #1740583194 in Riverdale, Georgia

Provider Information

NPI Number
1740583194
Entity Type
Organization
Organization Name
Southside Internal Medicine PC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Dec 7, 2010
Last Updated
Jan 14, 2015

Practice Location

Address
804 COMMERCE BLVD
Address 2
SUITE B
State
Georgia
ZIP Code
30296-7198
Phone
(770) 997-6644

Authorized Official

Name
DR. CASIMIR OKORO, M.D
Title
MEDICAL DOCTOR
Phone
(770) 997-6644

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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