Organization
RADIANT FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HINA HUSSAIN M.D. (OWNER)
(404) 635-6117
Entity
Organization
Contact information
Practice address
1 TECHNOLOGY PKWY S, NORCROSS, GA 30092-2928
(678) 713-2600
Mailing address
PO BOX 671047, MARIETTA, GA 30066-0135
(404) 635-6117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055063
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107254A
—
GA
Enumeration date
05/04/2010
Last updated
05/23/2024
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