# PHYSICIANS IMMEDIATE MED OF DOUGLASVILLE, P.C.

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

## Provider details

- **NPI number:** 1437343563
- **Authorized official:** JOSEPH PAFUMY D.O. (PRESIDENT)
- **Authorized official phone:** (770) 947-1112

## Contact information

- **Practice address:** 9390 THE LANDING DRIVE, DOUGLASVILLE, GA 30135
- **Practice address phone:** (770) 947-1112
- **Practice address fax:** (770) 947-1816
- **Mailing address:** 3827 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2630
- **Mailing address phone:** (770) 947-1112
- **Mailing address fax:** (770) 947-1816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2007
- **Last updated:** 11/07/2007