Organization
LOFTY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIDELIS ORJI NP (NURSE PRACTITIONER)
(678) 499-7868
Entity
Organization
Contact information
Practice address
766 NOTTINGHAM DR, DOUGLASVILLE, GA 30134-5820
(678) 499-7868
Mailing address
766 NOTTINGHAM DR, DOUGLASVILLE, GA 30134-5820
(678) 499-7868
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/19/2023
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