Basic Information
Provider Information
NPI: 1225617525
EntityType: 2
ReplacementNPI:  
OrganizationName: AFC PHYSICIANS OF GEORGIA URGENT CARE, PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3700 CAHABA BEACH RD
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352425225
CountryCode: US
TelephoneNumber: 2052715038
FaxNumber: 2052639554
Practice Location
Address1: 3481 ERNEST BARRETT PKWY
Address2:  
City: MARIETTA
State: GA
PostalCode: 300642703
CountryCode: US
TelephoneNumber: 6783485119
FaxNumber: 6783485120
Other Information
ProviderEnumerationDate: 04/05/2021
LastUpdateDate: 05/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BARLOW
AuthorizedOfficialFirstName: BENJAMIN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 2054038902
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate: 05/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QU0200X  Y Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


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