Organization
ALPHA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS A UWAGERIKPE M.D. (PRESIDENT)
(229) 630-0407
Entity
Organization
Contact information
Practice address
5 HURRICANE SHOALS RD NE STE A, LAWRENCEVILLE, GA 30046-4583
(229) 630-0407
Mailing address
PO BOX 416, SUWANEE, GA 30024-0416
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
56779
GA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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