Organization
J RAPHA HEALTHCARE SERVICES INC
Active
Other names
Southern Flare Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
EKEI JOSO TANIFUM MD (OWNER/MEDICAL DIRECTOR)
(912) 445-5520
Entity
Organization
Contact information
Practice address
100 TIMBER TRAIL RD STE 104, RICHMOND HILL, GA 31324-9416
(912) 445-5520
Mailing address
100 TIMBER TRAIL RD STE 104, RICHMOND HILL, GA 31324-9416
(912) 445-5520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
04/25/2019
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