Organization
SOUTHWEST MEDICAL CLINIC,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBINNA BONIFACE UBANI-EBERE PH.D. (EXECUTIVE DIRECTOR/MANAGER)
(706) 672-4818
Entity
Organization
Contact information
Practice address
7007 WILLIAMS STREET, SUITE C, BOX 1120, GREENVILLE, GA 30222
(706) 672-4818
(706) 672-4818
Mailing address
7007 WILLIAMS STREET, SUITE C, BOX 1120, GREENVILLE, GA 30222
(706) 672-4818
(706) 672-4818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042618
GA
Other
Enumeration date
03/14/2006
Last updated
08/22/2020
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