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Organization

SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.

Active
Other names
Henrietta Johnson Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EPHRAIM KABA (CHIEF EXECUTIVE OFFICER)
(302) 655-6187
Entity
Organization

Contact information

Practice address
1100 S BROOM ST, WILMINGTON, DE 19805-4585
(302) 655-6187
Mailing address
601 NEW CASTLE AVE, WILMINGTON, DE 19801-5821
(302) 655-6187
(302) 655-6606

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/05/2017
Last updated
04/05/2017
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