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Supreme Internal Medicine, P.c.
Primary Care Clinic/Center in Statesboro, Georgia
NPI 1831536341

Supreme Internal Medicine, P.c. is a Primary Care Clinic/Center based in Statesboro, GA and is specialized in Primary Care. Supreme Internal Medicine, P.c. practices in Statesboro, GA. The NPI Number for Supreme Internal Medicine, P.c. is 1831536341 and holds a License No. 68726 (Georgia).

The current practice location address for Supreme Internal Medicine, P.c. is 1207 Merchant Way, Statesboro, GA and can be reached out via phone at 912-243-9080 and via fax at 912-243-9084.

Location: 1207 Merchant Way, Statesboro, GA, 30458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831536341
Provider Name
Supreme Internal Medicine, P.c.
Credential
Provider Entity Type
Organization
Address
1207 Merchant Way, Statesboro, GA, 30458
Phone Number
912-243-9080
Fax Number
912-243-9084
Provider Enumeration Date
05/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1207 Merchant Way
City
Statesboro
State
Georgia
Zip
30458-0861
Phone Number
912-243-9080
Fax Number
912-243-9084
person
Provider Business Mailing Address Details
Address
1207 Merchant Way
City
Statesboro
State
Georgia
Zip
30458-0861
Phone Number
912-243-9080
Fax Number
912-243-9084
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
68726 (Georgia)
Definition
Definition to come...
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