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Organization
POWDER SPRINGS MEDICAL CLINIC, INC.
Active
Organization
POWDER SPRINGS MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY WAYNE HILL D.O. (PRESIDENT)
(770) 943-1636
Entity
Organization
Contact information
Practice address
4045-B LINDLEY CIR, POWDER SOPRINGS, GA 30127
(770) 943-1636
(770) 943-7941
Mailing address
4045B LINDLEY CIR, POWDER SPRINGS, GA 30127-2711
(770) 943-1636
(770) 943-7941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019698
GA
Other
Enumeration date
05/14/2007
Last updated
02/14/2008
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