Organization
LAKE ACWORTH FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI W MUHIA (NURSE PRACTITIONER)
(404) 353-6317
Entity
Organization
Contact information
Practice address
5655 LAKE ACWORTH DR NW STE 120, ACWORTH, GA 30101-7324
(770) 702-8408
Mailing address
5655 LAKE ACWORTH DR NW STE 120, ACWORTH, GA 30101-7324
(770) 702-8408
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN16397
GA
Other
Enumeration date
07/30/2014
Last updated
03/19/2015
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