Organization
AIRPORT PRIMARY CARE, LLC.
Active
Other names
AIRPORT PRIMARY CARE & IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHASHIKANT A DAYA M.D. (PRESIDENT)
(678) 471-6073
Entity
Organization
Contact information
Practice address
3305 BOBBY BROWN PKWY, ATLANTA, GA 30344-5012
(404) 806-8181
(770) 456-5469
Mailing address
3305 BOBBY BROWN PKWY, ATLANTA, GA 30344-5012
(404) 806-8181
(770) 456-5469
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
037520
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360335904B
—
GA
Enumeration date
06/27/2005
Last updated
03/06/2017
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