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1740583194
SOUTHSIDE INTERNAL MEDICINE PC
RIVERDALE, GA
NPI
1740583194
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Entity Type
Organization
Authorized Contact
CASIMIR OKORO
Medical Doctor
770-997-6644
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2010-12-07
Last Update Date
2015-01-14
Business Address
SOUTHSIDE INTERNAL MEDICINE PC
804 COMMERCE BLVD SUITE B
RIVERDALE, GA 30296-7198
Phone number: 770-997-6644
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Mailing Address
SOUTHSIDE INTERNAL MEDICINE PC
7384 HIGHWAY 85
RIVERDALE, GA 30274-3453
Phone number: 770-997-6644
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