Organization
CPN NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM AWAN (OFFICE MANAGER)
(909) 720-4018
Entity
Organization
Contact information
Practice address
3380 FLORENCE RD STE 200, POWDER SPRINGS, GA 30127-3806
(909) 720-4018
Mailing address
3380 FLORENCE RD STE 200, POWDER SPRINGS, GA 30127-3806
(909) 720-4018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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