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provider's requisition
Join our network
Requestor's name
Requestor's email
MD's name
Hospital's name
Hospital's phone number
NG
Healthcare Category
Location
Professional Indemnity Insurance Certificate.
Mandatory NHIA Requirement for Hospitals & Clinics
Max file size is 2.0 MB
Hospital/Clinic Registration Certificate
Max file size is 2.0 MB
Medical Director's (MDCN) Certificate
Max file size is 2.0 MB
CAC Certificate
Max file size is 2.0 MB
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