Organization
CROSSLINKS FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAVIER ASH MD (OWNER)
(678) 292-6606
Entity
Organization
Contact information
Practice address
1475 MONTREAL ROAD EAST, TUCKER, GA 30084-6922
(678) 292-6606
Mailing address
PO BOX 390005, SNELLVILLE, GA 30039-0001
(678) 292-6606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000863464F
—
GA
Enumeration date
11/14/2014
Last updated
11/07/2022
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