Organization · Type 2 NPI
Southside Internal Medicine PC
Primary Care Clinic/Center · Riverdale, GA
NPI number
1740583194
Active
Practice location
804 Commerce Blvd, Suite B
Riverdale, GA 30296-7198
Fax (770) 997-6630
Mailing address
7384 Highway 85
Riverdale, GA 30274-3453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
7 other providers at this address
- Field Labs DiagnosticsClinical Medical Laboratory Riverdale, GA NPI 1609692128
- House of Inspiration Group Home, IncCommunity/Behavioral Health Agency Riverdale, GA NPI 1730361775
- L.t. Exams, IncClinical Medical Laboratory Riverdale, GA NPI 1417134636
- Maxicare Medical SupplyDurable Medical Equipment & Medical Supplies Riverdale, GA NPI 1790959187
- April Paulk, CPT, CNAPhlebotomy Technician Riverdale, GA NPI 1699591115
- Efiong E. Mbaba, REGISTERED NURSEDurable Medical Equipment & Medical Supplies Riverdale, GA NPI 1477763654
- Willie Roy Cameron, LPCProfessional Counselor Riverdale, GA NPI 1588879803
Other primary care clinic/center providers in Riverdale
About NPI 1740583194
Southside Internal Medicine PC's National Provider Identifier is 1740583194, issued on Dec 7, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Riverdale, GA. The record was last updated on Jan 14, 2015.