Organization
UNICARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROTIMI SAMUEL MD (OWNER PRESIDENT)
(229) 878-0404
Entity
Organization
Contact information
Practice address
810 13TH AVE STE 106, ALBANY, GA 31701-1333
(229) 878-0404
(229) 878-0690
Mailing address
PO BOX 4202, ALBANY, GA 31706-4202
(229) 878-0404
(229) 878-0690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044082
GA
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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