Organization · NPI-2
Affordable Medical Care Of Georgia LLC
Family Medicine · Lithonia, GA
NPI number1144464512
StatusActive
Last updated in NPPESApr 28, 2009
Details
- NPI
- 1144464512
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Medical Care Of Georgia LLC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2009
- Last updated
- Apr 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2724 Evans Mill RdLithonia, GA 30058-7417
Phone 770-484-7172 · Fax 850-995-8810
Mailing address
5553 Highway 90Pace, FL 32571-1540
Phone 770-484-7172 · Fax 850-995-8810
Authorized official
Anju Garg
Owner
7704847172
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