# SOUTHERN PHYSICIAN PRACTICE GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** test4free.org
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467066241
- **Authorized official:** DR. MOSHE BACHAR MD (CEO)
- **Authorized official phone:** (404) 800-5181

## Contact information

- **Practice address:** 3180 N POINT PKWY STE 302, ALPHARETTA, GA 30005-4381
- **Practice address phone:** (678) 224-8686
- **Practice address fax:** (678) 224-8879
- **Mailing address:** 3180 N POINT PKWY STE 302, ALPHARETTA, GA 30005-4381
- **Mailing address phone:** (404) 800-5181
- **Mailing address fax:** (404) 800-5797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2020
- **Last updated:** 09/02/2020