Organization
MBA COMMUNITY CLINIC
Active
Other names
COMMUNITY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE S BYRD (OWNER)
(912) 335-8934
Entity
Organization
Contact information
Practice address
4395 OGEECHEE RD, STE 209, SAVANNAH, GA 31405-1249
(912) 335-8934
(912) 228-3046
Mailing address
4395 OGEECHEE RD, STE 209, SAVANNAH, GA 31405-1249
(912) 208-3261
(912) 228-3046
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2015
Last updated
08/04/2015
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