Organization
HIP MEDICAL GEORGIA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUSHRA SIDDIQI (MULTISITE CLINIC MANAGER)
(678) 796-6940
Entity
Organization
Contact information
Practice address
11660 ALPHARETTA HWY STE 285, ROSWELL, GA 30076-3876
(404) 255-5774
Mailing address
2500 OLD MILTON PKWY STE 210, ALPHARETTA, GA 30009-2486
(678) 796-6940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
05/21/2019
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