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Organization

SOUTHERN MEDICAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHIRAG R PATEL MD (PRESIDENT)
(404) 761-1550
Entity
Organization

Contact information

Practice address
1136 CLEVELAND AVE, SUITE 221, EAST POINT, GA 30344-3618
(404) 761-1550
(678) 233-1633
Mailing address
1136 CLEVELAND AVE, SUITE 221, EAST POINT, GA 30344-3618
(404) 761-1550
(678) 233-1633

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/31/2006
Last updated
10/20/2016
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