Organization
CAREGAP MEDFAST CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL IKEMBA MADU MD (DIRECTOR)
(404) 310-4040
Entity
Organization
Contact information
Practice address
2164 ATLANTA HWY, #B, ATHENS, GA 30606
(404) 310-4040
Mailing address
2164 NORTHERN OAK DR, BRASELTON, GA 30517-6064
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/26/2026
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