| Afc Physicians Of Georgia, Pc | |
|
1095 Woodstock Rd Roswell GA 30075-0000 | |
| (678) 347-2464 | |
| (678) 347-2460 |
| Full Name | Afc Physicians Of Georgia, Pc |
|---|---|
| Speciality | General Practice |
| Location | 1095 Woodstock Rd, Roswell, Georgia |
| Authorized Official Name and Position | Randy Johansen (PRESIDENT) |
| Authorized Official Contact | 2054212101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Afc Physicians Of Georgia, Pc 3700 Cahaba Beach Rd Birmingham AL 35242-5225 Ph: (205) 403-8902 | Afc Physicians Of Georgia, Pc 1095 Woodstock Rd Roswell GA 30075-0000 Ph: (678) 347-2464 |
| NPI Number | 1861803371 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861803371 | NPI | - | NPPES |
| 202G708342 | Other | GA | MEDICARE GROUP PTAN# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Georgia) | Primary |
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