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Organization

FAMILY CARE CLINIC P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NINO RENZO FORNASINI M.D. (PHYSICIAN/OWNER)
(770) 622-3948
Entity
Organization

Contact information

Practice address
3985 STEVE REYNOLDS BLVD, BUILDING I, NORCROSS, GA 30093
(770) 622-3948
(770) 622-4879
Mailing address
3985 STEVE REYNOLDS BLVD, BUILDING I, NORCROSS, GA 30093
(770) 622-3948

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
261Q00000X
Clinic/Center
Primary
048628
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000879755A
GA
Enumeration date
05/07/2008
Last updated
08/09/2021
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