Organization · NPI-2

Afc Physicians Of Georgia, PC

General Practice · Marietta, GA

NPI number1265879977
StatusActive
Last updated in NPPESJun 12, 2020

Details

NPI
1265879977
Entity type
Organization (NPI-2)
Legal business name
Afc Physicians Of Georgia, PC
Organization subpart
Yes
Enumeration date
Jun 4, 2013
Certification date
Jun 12, 2020
Last updated
Jun 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice–GAYes

Other names

  • Afc Physicians Of Ga, PC (Doing Business As)

Practice location

3481 Ernest Barrett Parkway Sw
Marietta, GA 30064-2703

Phone 678-348-5119 · Fax 678-348-5120

Mailing address

3700 Cahaba Beach Rd
Birmingham, AL 35242-5225

Phone 205-403-8902 · Fax 205-421-2109

Authorized official

Randy Johansen
President
2054212101

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