Southside Internal Medicine PC
Southside Internal Medicine PC is a Primary Care Clinic/Center in Riverdale, Georgia. Registered with an NPI since 2010.
- In the registry since
- 2010
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
804 Commerce Blvd Ste BRiverdale, GA 30296-7198
Phone: (770) 997-6644
Fax: (770) 997-6630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1740583194 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Casimir Okoro — Medical Doctor · (770) 997-6644 |
| NPI enumerated | December 7, 2010 |
| Last updated in NPPES | January 14, 2015 |
| Mailing address | 7384 Highway 85, Riverdale, GA 30274-3453 |
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Legacy Primary Care and Wellness
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