Organization
NORCROSS PEDIATRIC AND FAMILY MEDICINE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERMAINE LANGIRA (NURSE PRACTITIONER)
(770) 771-1616
Entity
Organization
Contact information
Practice address
4608 JIMMY CARTER BLVD STE 7, NORCROSS, GA 30093-3758
(770) 938-6966
(770) 938-6968
Mailing address
4608 JIMMY CARTER BLVD STE 7, NORCROSS, GA 30093-3758
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN214390
—
GA
Enumeration date
07/13/2020
Last updated
07/13/2022
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