Radiant Family Practice LLC
Family Medicine in Norcross, GA. Organization (NPI-2).
NPI number1326366154
StatusActive
Last updated in NPPESMay 23, 2024
Details
- NPI
- 1326366154
- Entity type
- Organization (NPI-2)
- Legal business name
- Radiant Family Practice LLC
- Organization subpart
- No
- Enumeration date
- May 4, 2010
- Certification date
- May 23, 2024
- Last updated
- May 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 055063 | GA | Yes |
Practice location
1 Technology Pkwy SNorcross, GA 30092-2928
Phone 678-713-2600
Mailing address
Po Box 671047Marietta, GA 30066-0135
Phone 404-635-6117
Other practice locations
223 Medical Center Dr
Riverdale, GA 30274-2640
Riverdale, GA 30274-2640
Phone 770-991-8500
Authorized official
Hina Hussain
Owner
4046356117
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