SOUTHWEST MEDICAL CLINIC,INC. (NPI# 1124096334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124096334 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MEDICAL CLINIC,INC. |
| Practice Address |
7007 Williams Street Suite C, Box 1120 Greenville GA 30222 |
| Practice Telephone | 7066724818 |
| Practice Fax Number | 7066724818 |
| Mailing Telephone | 7066724818 |
| Mailing Fax Number | 7066724818 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. OBINNA BONIFACE UBANI-EBERE (EXECUTIVE DIRECTOR/MANAGER) |
| Authorized Official Telephone | 7066724818 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 042618 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
7007 WILLIAMS STREET SUITE C, BOX 1120 |
| City | GREENVILLE |
| State | GA |
| Zip Code | 30222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932177102 | Patricia Chinwenwa Ubani-ebere | Internal Medicine | 7007 Williams Street, Suite C Box 120, Greenville, GA 30222 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003232042 | U Save It Pharmacy Inc | Pharmacy | 121 S Court Square, Greenville, GA 30222 | 2014-03-14 |
| 1700134475 | Selma Luella Smith | Registered Nurse | 775 Woodbury Road, Building B, Greenville, GA 30222 | 2012-08-28 |
| 1609911262 | Charles Allen Tigner | Pharmacist | 121 South Court Square, Greenville, GA 30222 | 2007-02-21 |
| 1598394314 | Catherine Callahan | Counselor | 756 Woodbury Rd, Greenville, GA 30222 | 2020-04-03 |
| 1669721478 | Ada Scott | Registered Nurse | 756 Woodbury Rd, Greenville, GA 30222 | 2012-09-07 |
| 1417084252 | Greenville Drug Co., Inc | Pharmacy | 121 South Court Square, Greenville, GA 30222 | 2007-02-28 |
| 1740310382 | Lori Ann Berdo | Physical Therapist | 1441 Clifton Road, Atlanta, GA 30222-1004 | 2007-03-06 |
| 1457669079 | Jessica Bolton | Counselor | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2010-09-16 |
| 1992036685 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 756 Woodbury Rd, Greenville, GA 30222-1514 | 2010-01-20 |
| 1689736647 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 756 Woodbury Road, Greenville, GA 30222-1514 | 2006-12-15 |
| Find all providers in zip 30222 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043868789 | Hopewell Medical Care LLC | Internal Medicine | 2090 Woodruff Rd, Greenville, SC 29607-5939 | 2019-08-27 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1689193237 | Gim Barry Blackston, Md, Pa | Internal Medicine | 8 Memorial Medical Ct Ste 4, Greenville, SC 29605-4400 | 2017-09-14 |
| 1003357948 | Keith Freeman | Internal Medicine | 10 Enterprise Blvd Ste 110, Greenville, SC 29615-3534 | 2017-03-11 |
| 1871945204 | Annum Faisal | Internal Medicine | 2100 Stantonsburg Rd Ofc, Greenville, NC 27834-2818 | 2016-07-11 |
| 1508284324 | Lusana Ahsan | Internal Medicine | 2100 Stantonsburg Rd Ste 1ad200, Greenville, NC 27834-2818 | 2014-03-29 |
| 1548604341 | William M Wooten | Internal Medicine | 2400 Stantonsburg Rd, Greenville, NC 27834-7210 | 2013-04-23 |
| 1356699904 | Mohammad Raihan Azad | Internal Medicine | 1006 Wh Smith Blvd., Physicians East - Endocrinology, Greenville, NC 27834 | 2012-08-29 |
| 1104185420 | Geoffrey P Little | Internal Medicine | 20 Bryants Sq, Apt/suite, Greenville, NY 12083-3413 | 2012-05-07 |
| 1053679530 | Matthew Earles Dauterive | Internal Medicine | 600 Moye Blvd Ste 3e149, Greenville, NC 27834-4300 | 2012-05-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 30222 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.