Healthcare Provider Details

I. General information

NPI: 1982950671
Provider Name (Legal Business Name): AFC PHYSICIANS OF GEORGIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2012
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 PEACHTREE BLVD STE 115
CHAMBLEE GA
30341-2799
US

IV. Provider business mailing address

5001 PEACHTREE BLVD STE 115
CHAMBLEE GA
30341-2799
US

V. Phone/Fax

Practice location:
  • Phone: 770-458-8929
  • Fax: 470-709-5964
Mailing address:
  • Phone: 770-458-8929
  • Fax: 470-709-5964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RANDY JOHNSON
Title or Position: PRESIDENT
Credential:
Phone: 205-421-2102