Organization
SOUTHERN INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJKUMAR CHANDULAL PATEL (OFFICER)
(478) 272-0353
Entity
Organization
Contact information
Practice address
106 ROWE ST, DUBLIN, GA 31021-5238
(478) 272-0353
Mailing address
106 ROWE ST, DUBLIN, GA 31021-5238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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