Organization
NATIONS MEDICAL CLINIC INC
Active
Organization
NATIONS MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES AGUNOBI MD (OWNER)
(704) 674-9147
Entity
Organization
Contact information
Practice address
3099 BREDKINRIDGE BLVD. SUITE 110, SUITE 110, DULUTH, GA 30096-1011
(678) 242-8035
(678) 373-1645
Mailing address
3099 BREDKINRIDGE BLVD, SUITE 110, DULUTH, GA 30096-1011
(678) 242-8035
(678) 373-1645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38161
LICENSE
GA
Enumeration date
09/17/2020
Last updated
03/07/2023
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