# COMPLETE HEALTHCARE OF BUFORD

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

## Provider details

- **NPI number:** 1255609830
- **Authorized official:** DR. ADAM VIRGILIO (OWNER)
- **Authorized official phone:** (678) 546-8044

## Contact information

- **Practice address:** 3280 HAMILTON MILL RD, SUITE 304, BUFORD, GA 30519-7221
- **Practice address phone:** (678) 546-8044
- **Practice address fax:** (678) 546-8047
- **Mailing address:** 3280 HAMILTON MILL RD, SUITE 304, BUFORD, GA 30519-7221
- **Mailing address phone:** (678) 546-8044
- **Mailing address fax:** (678) 546-8047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 28809 | GA | Yes |

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 10/22/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6706740001 | MEDICARE PTAN | GA |