# INMED CLINICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INMED CLINICAL SERVICES LLC
- **Other names:** North Shore Health Care Associates Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356602205
- **Legal business name:** INMED CLINICAL SERVICES LLC
- **Authorized official:** VICKI F LAWRENSON (COO)
- **Authorized official phone:** (334) 386-0343

## Contact information

- **Practice address:** 773 N MAIN ST, CLAYTON, GA 30525-4257
- **Practice address phone:** (706) 782-4233
- **Mailing address:** PO BOX 5013, MONTGOMERY, AL 36103-5013
- **Mailing address phone:** (334) 386-0343
- **Mailing address fax:** (334) 386-0382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 06/06/2012