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NPI Code Detail

MEDICARE: AFC PHYSICIANS OF GEORGIA PRIMARY CARE, PC

MEDICARE: AFC PHYSICIANS OF GEORGIA PRIMARY CARE, 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
1207Q00000XFamily Medicine Physician
2208D00000XGeneral Practice Physician
3261QM1300XMulti-Specialty Clinic/Center
4261QU0200XUrgent Care Clinic/Center
5261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1083005565
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFC PHYSICIANS OF GEORGIA PRIMARY CARE, PC
Provider Business Mailing Address
First Line : 3700 CAHABA BEACH RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-5225
Country : US
Telephone Number : 205-403-8903
Fax Number :
Provider Business Practice Location Address
First Line : 6509 GATEWAY RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-5681
Country : US
Telephone Number : 706-243-0174
Fax Number : 706-243-0178
Authorized Official
Title or Position : CMO
Name : DR. MOINUDDIN KAZI
Credential : MD
Telephone Number : 205-421-2091
Provider Enumeration Date : 02/05/2015
Last Update Date : 02/23/2023

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