Cunanan Medical Clinic INC
Internal Medicine in Newnan, GA. Organization (NPI-2).
NPI number1750441754
StatusActive
Last updated in NPPESSep 9, 2011
Details
- NPI
- 1750441754
- Entity type
- Organization (NPI-2)
- Legal business name
- Cunanan Medical Clinic INC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- Sep 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
109 Bullsboro DrNewnan, GA 30263
Phone 770-251-4140 · Fax 770-251-7275
Mailing address
109 Bullsboro DrNewnan, GA 30263
Phone 770-251-4140 · Fax 770-251-7275
Authorized official
Romeo Miranda Cunanan
President
7702514140
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