Milestone Family Medicine

NPI 1114976743 - Family Medicine - 207Q00000X

NPI Details
NPI 1114976743
Enumeration Date 05/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name OBAFEMI OLUSEUN OBAFEMI
Position PRESIDENT
Phone (770) 414-0337
Fax (770) 414-0354
Practice Location
1438 MCLENDON DR
DECATUR GA, 30033-1802, US
Phone (770) 414-0337
Fax (770) 414-0354
Business Location
PO BOX 15531
ATLANTA GA, 30333-0531, US
Phone (770) 414-0337
Fax (770) 414-0354
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 050325
Remove 1114976743 NPI Number
 

According to our database, Milestone Family Medicine NPI is 1114976743, taxonomy code is 207Q00000X and license number is 050325, license state is located at Georgia. Milestone Family Medicine physically located at 1438 Mclendon Dr, Decatur GA, 30033-1802. NPI Number 1033115704 has the healthcare provider type.

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1114976743 NPI number is provided on an as is basis without warranty of any kind. 1114976743 is maintained by the National Plan & Provider Enumeration System. The contents of Milestone Family Medicine are for informational purposes only.