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3919 Carter Rd Ste 220 Buford GA 30518-1628 | |
| (770) 887-1668 | |
| (770) 781-9937 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3919 Carter Rd Ste 220, Buford, Georgia |
| Authorized Official Name and Position | Stephen Clifford Brown (CFO) |
| Authorized Official Contact | 4702971028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
260 Elm St Cumming GA 30040-2467 Ph: (770) 887-1668 | 3919 Carter Rd Ste 220 Buford GA 30518-1628 Ph: (770) 887-1668 |
| NPI Number | 1427762707 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427762707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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