The Shafiq Group | |
910 Athens Hwy Ste K245 Loganville GA 30052-4952 | |
(770) 445-4088 | |
Not Available |
Full Name | The Shafiq Group |
---|---|
Speciality | Clinic/center - Community Health |
Location | 910 Athens Hwy Ste K245, Loganville, Georgia |
Authorized Official Name and Position | Khalil Shafiq (OWNER) |
Authorized Official Contact | 7704554088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Shafiq Group 910 Athens Hwy Ste K245 Loganville GA 30052-4952 Ph: (770) 445-4088 | The Shafiq Group 910 Athens Hwy Ste K245 Loganville GA 30052-4952 Ph: (770) 445-4088 |
NPI Number | 1700357878 |
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Provider Enumeration Date | 12/16/2018 |
Last Update Date | 12/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700357878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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