Organization · Type 2 NPI
Supreme Internal Medicine, P.c.
Primary Care Clinic/Center · Statesboro, GA
NPI number
1831536341
Active
Practice location
1207 Merchant Way, Suite 201
Statesboro, GA 30458-0861
Fax (912) 243-9084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 68726 (GA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Statesboro
About NPI 1831536341
Supreme Internal Medicine, P.c.'s National Provider Identifier is 1831536341, issued on May 24, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Statesboro, GA. The record was last updated on May 24, 2013.