Organization
LOW COUNTRY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA P RUFF (OFFICE MANAGER)
(912) 877-6822
Entity
Organization
Contact information
Practice address
455 S MAIN ST STE 201, HINESVILLE, GA 31313-4354
(912) 877-6822
(912) 408-6781
Mailing address
455 S MAIN ST STE 201, HINESVILLE, GA 31313-4354
(912) 877-6822
(912) 408-6781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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