# POWDER SPRINGS MEDICAL CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134334832
- **Authorized official:** DR. BOBBY WAYNE HILL D.O. (PRESIDENT)
- **Authorized official phone:** (770) 943-1636

## Contact information

- **Practice address:** 4045-B LINDLEY CIR, POWDER SOPRINGS, GA 30127
- **Practice address phone:** (770) 943-1636
- **Practice address fax:** (770) 943-7941
- **Mailing address:** 4045B LINDLEY CIR, POWDER SPRINGS, GA 30127-2711
- **Mailing address phone:** (770) 943-1636
- **Mailing address fax:** (770) 943-7941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 019698 | GA | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 02/14/2008