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NPI Code Detail

MEDICARE: BUFORD FAMILY PRACTICE AND URGENT CARE CENTER, PC

MEDICARE: BUFORD FAMILY PRACTICE AND URGENT CARE CENTER, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) Physician057551GA

General Provider Information

NPI Number : 1073563037
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUFORD FAMILY PRACTICE AND URGENT CARE CENTER, PC
Provider Business Mailing Address
First Line : 3340 PEACHTREE RD NE
Second Line : BLDG 100, STE 600
City : ATLANTA
State : GA
Zip : 30326-1000
Country : US
Telephone Number : 404-266-9876
Fax Number : 404-266-2669
Provider Business Practice Location Address
First Line : 3331 HAMILTON MILL RD
Second Line : STE 1102
City : BUFORD
State : GA
Zip : 30519-4006
Country : US
Telephone Number : 678-541-0588
Fax Number :
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : DR. ALEXANDER E OSOWA
Credential : MD
Telephone Number : 678-541-0588
Provider Enumeration Date : 05/11/2006
Last Update Date : 08/22/2020

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Directions to “BUFORD FAMILY PRACTICE AND URGENT CARE CENTER, PC ” Practice Location

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