Healthcare Provider Details

I. General information

NPI: 1285900647
Provider Name (Legal Business Name): BEFIKIR ASTIL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 05/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 HIGHWAY 54 W PIEDMONT FAYETTE HOSPITAL
FAYETTEVILLE GA
30214-4526
US

IV. Provider business mailing address

35 COLLIER RD NW PIEDMONT HOSPITAL PHYSICIANS
ATLANTA GA
30309-1613
US

V. Phone/Fax

Practice location:
  • Phone: 770-719-7000
  • Fax: 770-719-7000
Mailing address:
  • Phone: 404-367-3014
  • Fax: 440-436-7358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number073741
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number073741
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: