Southside Medical Care II LLC

NPI #1972730562 in Union City, Georgia

Provider Information

NPI Number: 1972730562
Entity Type: Organization
Organization Name: Southside Medical Care II LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 22, 2009
Last Updated: Jun 22, 2009

Practice Location

Address: 6325 SHANNON PKWY
Address 2: SUITE D
City: Union City
State: Georgia
ZIP Code: 30291-1538
Phone: (404) 943-0205

Authorized Official

Name: MS. ALICIA HOLDEN
Title: BILLING MANAGER
Phone: (404) 943-0205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Southside Medical Care	Family Medicine	Union City	AI Deep Dive

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