Organization
FAYETTE CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WILLIAMS (PRACTICE COORDINATOR)
(770) 719-4620
Entity
Organization
Contact information
Practice address
1260 HIGHWAY 54 W STE 101, FAYETTEVILLE, GA 30214-4525
(770) 719-4620
(770) 719-4622
Mailing address
1260 HIGHWAY 54 W STE 101, FAYETTEVILLE, GA 30214-4525
(770) 719-4620
(770) 719-4622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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