| Oakley Family Medical Clinic Llx | |
|
7794 Ella Ln Ste G Fairburn GA 30213-5511 | |
| (770) 969-0004 | |
| Not Available |
| Full Name | Oakley Family Medical Clinic Llx |
|---|---|
| Speciality | Clinic/center |
| Location | 7794 Ella Ln, Fairburn, Georgia |
| Authorized Official Name and Position | Peter B Ruy (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7709690004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakley Family Medical Clinic Llx 7794 Ella Ln Ste G Fairburn GA 30213-5511 Ph: (770) 969-0004 | Oakley Family Medical Clinic Llx 7794 Ella Ln Ste G Fairburn GA 30213-5511 Ph: (770) 969-0004 |
| NPI Number | 1598075475 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598075475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 032649 (Georgia) | Primary |
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