| Friendship Clinic | |
|
4965 Friendship Rd Suite 103 Buford GA 30518-1700 | |
| (678) 714-5692 | |
| (678) 714-5693 |
| Full Name | Friendship Clinic |
|---|---|
| Speciality | General Practice |
| Location | 4965 Friendship Rd, Buford, Georgia |
| Authorized Official Name and Position | Mary Farisi (OFFICE MANAGER) |
| Authorized Official Contact | 6787145692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Friendship Clinic 4965 Friendship Rd Suite 103 Buford GA 30518-1700 Ph: (678) 714-5692 | Friendship Clinic 4965 Friendship Rd Suite 103 Buford GA 30518-1700 Ph: (678) 714-5692 |
| NPI Number | 1801078001 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801078001 | NPI | - | NPPES |
| 1700938123 | Other | GA | INDIVIDUAL NPI |
| 00457168C | Medicaid | GA | |
| GRP4668 | Other | GA | GROUP PIN |
| 1801078001 | Other | GA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 016201 (Georgia) | Primary |
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