Organization
PRIME CARE MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUGBENGA AWE MD (OWNER)
(912) 884-3444
Entity
Organization
Contact information
Practice address
242 SOUTH COASTAL HWY 17, MIDWAY, GA 31320-5231
(912) 884-3444
(912) 884-3456
Mailing address
242 SOUTH COASTAL HWY 17, MIDWAY, GA 31320-5231
(912) 884-3444
(912) 884-3456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8433
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714892838A
—
GA
Enumeration date
09/06/2006
Last updated
05/17/2011
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