Organization
INMED CLINICAL SERVICES LLC
Active
Parent organization
INMED CLINICAL SERVICES LLC
Other names
North Shore Healthcare Associates - Family Practice
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
(334) 386-0382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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