Organization
SYAH, LLC
Active
Other names
Guilford Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ALLEN (BILLING MANAGER)
(770) 532-0800
Entity
Organization
Contact information
Practice address
142 PARKWAY PLAZA, CLEVELAND, GA 30528
(770) 532-0800
Mailing address
1250 JESSE JEWELL PKWY SE STE 300, GAINESVILLE, GA 30501-3865
(770) 532-0800
(770) 532-0801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810065167A
—
GA
Enumeration date
11/30/2018
Last updated
11/30/2018
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