| NPI | 1770509333 |
|---|---|
| Doing Business As | SJC MEDICAL GROUP INC- SOUTHSIDE |
| Entity Type | Organization |
| Authorized Contact | PAUL P HINCHEY President/ CEO 912-819-6101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2011-08-25 |