Organization
INTERNAL MEDICINE CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES N EKINDE MD (DOCTOR)
(770) 867-3208
Entity
Organization
Contact information
Practice address
206 E BROAD ST, WINDER, GA 30680
(770) 867-3208
(770) 867-3218
Mailing address
PO BOX B, WINDER, GA 30680-0137
(770) 867-3208
(770) 867-3218
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
059633
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511I110352
MEDICARE
GA
05
—
635315149A
—
GA
Enumeration date
02/15/2008
Last updated
09/09/2008
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