| |
1400 Buford Hwy, Building R-1, Buford, GA 30518-8721 | |
(770) 831-9202 | |
(678) 730-7777 |
Full Name | |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 1400 Buford Hwy, Buford, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104221514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR008572 (Georgia) | Secondary |
207Q00000X | Family Medicine | 38981 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
1400 Buford Hwy, Building R-1, Buford, GA 30518-8721 Ph: (770) 831-9202 | 1400 Buford Hwy, Building R-1, Buford, GA 30518-8721 Ph: (770) 831-9202 |