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Organization
INMED CLINICAL SERVICES LLC
Active
Organization
INMED CLINICAL SERVICES LLC
Active
Parent organization
INMED CLINICAL SERVICES LLC
Other names
North Shore Healthcare Associates - Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
INMED CLINICAL SERVICES LLC
Authorized official
VICKI F LAWRENSON (COO)
(334) 386-0343
Entity
Organization
Contact information
Practice address
331 RIDGECREST CIR, CLAYTON, GA 30525-4186
(706) 782-0440
Mailing address
PO BOX 5013, MONTGOMERY, AL 36103-5013
(334) 386-0343
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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