Heritage Medical Solutions

NPI 1023325982 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1023325982
Enumeration Date 09/13/2010
Last Updated 09/13/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GAINIAT JAIYESINMI GAINIAT
Position OWNER
Phone (678) 889-4944
Fax (678) 889-4946
Practice Location
4330 S LEE ST BLDG 600
BUFORD GA, 30518-3072, US
Phone (678) 889-4944
Fax (678) 889-4946
Business Location
4330 S LEE ST BLDG 600
BUFORD GA, 30518-3072, US
Phone (678) 889-4944
Fax (678) 889-4946
Toxanomy
Taxonomy Code 302R00000X
License State Georgia
License Number 047776
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According to our database, Heritage Medical Solutions NPI is 1023325982, taxonomy code is 302R00000X and license number is 047776, license state is located at Georgia. Heritage Medical Solutions physically located at 4330 S Lee St Bldg 600, Buford GA, 30518-3072. NPI Number 1033115704 has the healthcare provider type.

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1023325982 NPI number is provided on an as is basis without warranty of any kind. 1023325982 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Medical Solutions are for informational purposes only.