Organization
NEW HORIZONS FAMILY CLINIC
Active
Other names
Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN P. NAZAIRE M.D (M.D)
(770) 962-0041
Entity
Organization
Contact information
Practice address
667 HERITAGE POST LN, GRAYSON, GA 30017-1661
(770) 962-0041
(770) 962-0041
Mailing address
667 HERITAGE POST LN, PO BOX 794, GRAYSON, GA 30017-1661
(770) 962-0041
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
060225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047101
—
MA
Enumeration date
05/27/2010
Last updated
05/27/2010
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