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1730418021
SOUTHWEST GEORGIA CENTER OF MEDICINE, LLC
AMERICUS, GA
NPI
1730418021
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Entity Type
Organization
Authorized Contact
ERIC N CODNER
Owner
229-389-2038
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 029865)
Enumeration Date
2009-12-15
Last Update Date
2014-04-22
Business Address
SOUTHWEST GEORGIA CENTER OF MEDICINE, LLC
915 ELMO ST
AMERICUS, GA 31709-3710
Phone number: 229-389-2038
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Mailing Address
SOUTHWEST GEORGIA CENTER OF MEDICINE, LLC
915 ELMO ST
AMERICUS, GA 31709-3710
Phone number: 229-389-2038
Copy
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