# FAITH MEDICAL AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144065145
- **Authorized official:** PAUL AIYEYOMI (ADMINISTRATOR)
- **Authorized official phone:** (678) 508-0605

## Contact information

- **Practice address:** 1590 PHOENIX BLVD STE 260, ATLANTA, GA 30349-5578
- **Practice address phone:** (678) 821-2052
- **Practice address fax:** (404) 506-9400
- **Mailing address:** 1590 PHOENIX BLVD STE 260, ATLANTA, GA 30349-5578
- **Mailing address phone:** (678) 821-2052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 07/01/2024