Organization
ADULT HEALTH CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY C LIM M.D (PHYSICIAN)
(671) 647-5546
Entity
Organization
Contact information
Practice address
2211 ARMY DR STE 105, TAMUNING, GU 96913-1267
(671) 647-5546
(671) 647-5550
Mailing address
2211 ARMY DR STE 105, TAMUNING, GU 96913-1267
(671) 647-5546
(671) 647-5550
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
M-1378
GU
Other
Enumeration date
06/07/2011
Last updated
01/09/2023
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