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Organization
UNITED PHYSICIANS OF GEORGIA, LLC
Active
Organization
UNITED PHYSICIANS OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE D POPE (CEO)
(843) 812-5988
Entity
Organization
Contact information
Practice address
7335 OLD NATIONAL HWY, RIVERDALE, GA 30296-1607
(803) 807-9533
(877) 903-1383
Mailing address
101 RICE BENT WAY, SUITE 12, COLUMBIA, SC 29229-6849
(803) 807-9533
(877) 903-1383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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