A Plus Clinic
Family Medicine in Austell, GA. Organization (NPI-2).
NPI number1477158541
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1477158541
- Entity type
- Organization (NPI-2)
- Legal business name
- A Plus Clinic
- Organization subpart
- No
- Enumeration date
- Dec 4, 2020
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
4787 Austell RdAustell, GA 30106-2001
Phone 770-875-6870
Mailing address
4787 Austell RdAustell, GA 30106-2001
Phone 770-875-6870
Authorized official
Mali Khamissi-Sobi
Owner
7708756870
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