SUPREME INTERNAL MEDICINE P.C. NPI 1831536341

NPI Information

  • NPI: 1831536341
  • Provider Name: SUPREME INTERNAL MEDICINE, P.C.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1207 MERCHANT WAY
    SUITE 201
    STATESBORO, GA
    ZIP 30458
  • Phone: (912) 243-9080

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NPI Details

SUPREME INTERNAL MEDICINE, P.C. is a primary care clinic center in Statesboro, GA. SUPREME INTERNAL MEDICINE, P.C. NPI is 1831536341. The provider is registered as an organization entity type.

The provider's business location address is:

1207 MERCHANT WAY
SUITE 201
STATESBORO, GA
ZIP 30458-861
Phone: (912) 243-9080
Fax: (912) 243-9084

The provider's authorized official is Hamilton O Emokpae .
The authorized official title is Physician and has the following contact phone number (912) 243-9080.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 5/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care68726GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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