# AFC PHYSICIANS OF GEORGIA, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AFC PHYSICIANS OF GEORGIA, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861803371
- **Legal business name:** AFC PHYSICIANS OF GEORGIA, PC
- **Authorized official:** MR. RANDY JOHANSEN (PRESIDENT)
- **Authorized official phone:** (205) 421-2101

## Contact information

- **Practice address:** 1095 WOODSTOCK RD, ROSWELL, GA 30075-0000
- **Practice address phone:** (678) 347-2464
- **Practice address fax:** (678) 347-2460
- **Mailing address:** 3700 CAHABA BEACH RD, BIRMINGHAM, AL 35242-5225
- **Mailing address phone:** (205) 403-8902
- **Mailing address fax:** (205) 421-2109

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2014
- **Last updated:** 06/12/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 202G708342 | MEDICARE GROUP PTAN\# | GA |