Organization
NEW HORIZONS FAMILY CLINIC
Active
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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