Organization
HERITAGE MEDICAL SOLUTIONS
Active
Other names
Heritage Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAINIAT JAIYESINMI AJAYI MD (OWNER)
(678) 889-4944
Entity
Organization
Contact information
Practice address
4330 S LEE ST BLDG 600, BUFORD, GA 30518-3072
(678) 889-4944
(678) 889-4946
Mailing address
4330 S LEE ST BLDG 600, BUFORD, GA 30518-3072
(678) 889-4944
(678) 889-4946
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
047776
GA
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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