Organization · NPI-2

Associated Physicians

Family Medicine · Mableton, GA

NPI number1992849988
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1992849988
Entity type
Organization (NPI-2)
Legal business name
Associated Physicians
Organization subpart
No
Enumeration date
Feb 16, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine029961GAYes

Practice location

5579 Mableton Pkwy Se
Mableton, GA 30126

Phone 770-948-1049 · Fax 770-948-6522

Mailing address

5579 Mableton Pkwy Se
Mableton, GA 30126-3301

Phone 770-948-1049 · Fax 770-948-6522

Authorized official

Shawn Wise
Administrator
7709481049

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