| Southwest Medical Clinic,inc. | |
|
7007 Williams Street Suite C, Box 1120 Greenville GA 30222 | |
| (706) 672-4818 | |
| (706) 672-4818 |
| Full Name | Southwest Medical Clinic,inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7007 Williams Street, Greenville, Georgia |
| Authorized Official Name and Position | Obinna Boniface Ubani-ebere (EXECUTIVE DIRECTOR/MANAGER) |
| Authorized Official Contact | 7066724818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Clinic,inc. 7007 Williams Street Suite C, Box 1120 Greenville GA 30222 Ph: (706) 672-4818 | Southwest Medical Clinic,inc. 7007 Williams Street Suite C, Box 1120 Greenville GA 30222 Ph: (706) 672-4818 |
| NPI Number | 1124096334 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124096334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042618 (Georgia) | Primary |