Organization
US MEDICAL CORPORATION LLC
Active
Organization
US MEDICAL CORPORATION LLC
Active
Other names
COMMERCE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAREHA RAHIM M.D. (PRESIDENT)
(706) 335-9411
Entity
Organization
Contact information
Practice address
613 HOSPITAL RD, COMMERCE, GA 30529-1143
(706) 335-9411
(706) 335-1911
Mailing address
613 HOSPITAL RD, COMMERCE, GA 30529-1143
(706) 335-9411
(706) 335-1911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047505
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000897685A
—
GA
01
—
047505
LICENSE NUMBER
GA
01
—
H33784
BLUE CROSS OF GA
GA
Enumeration date
07/28/2007
Last updated
03/07/2023
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