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1891130647
SUPREME INTERNAL MEDICINE
STATESBORO, GA
NPI
1891130647
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Entity Type
Organization
Authorized Contact
HAMILTON EMOKPAE
Owner
912-243-9080
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2013-05-07
Last Update Date
2013-05-07
Business Address
SUPREME INTERNAL MEDICINE
1207 MERCHANT WAY SUITE 201
STATESBORO, GA 30458-0861
Phone number: 912-243-9080
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Mailing Address
SUPREME INTERNAL MEDICINE
PO BOX 2380
STATESBORO, GA 30459-2380
Phone number: 912-243-9080
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