Organization
FIRST PLUS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR OSISANYA (MEDICAL DIRECTOR)
(404) 493-0138
Entity
Organization
Contact information
Practice address
3327 HIGHWAY 5, DOUGLASVILLE, GA 30135-2307
(678) 999-7784
Mailing address
5775 JIMMY CARTER BLVD, NORCROSS, GA 30071-2989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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