Organization
INMED CLINICAL SERVICES LLC
Active
Parent organization
INMED CLINICAL SERVICES LLC
Other names
North Shore Health Care Associates Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
INMED CLINICAL SERVICES LLC
Authorized official
VICKI F LAWRENSON (COO)
(334) 386-0343
Entity
Organization
Contact information
Practice address
773 N MAIN ST, CLAYTON, GA 30525-4257
(706) 782-4233
Mailing address
PO BOX 5013, MONTGOMERY, AL 36103-5013
(334) 386-0343
(334) 386-0382
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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