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Organization

A PLUS CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MALI KHAMISSI-SOBI (OWNER)
(770) 875-6870
Entity
Organization

Contact information

Practice address
4787 AUSTELL RD, AUSTELL, GA 30106-2001
(770) 875-6870
Mailing address
4787 AUSTELL RD, AUSTELL, GA 30106-2001
(770) 875-6870

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
12/04/2020
Last updated
02/09/2021
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