Organization
NR MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EL SHAFEY ASHOUR (OWNER)
(727) 744-2168
Entity
Organization
Contact information
Practice address
213 ARROWHEAD BLVD, SUITE D, JONESBORO, GA 30236-1168
(770) 703-8074
Mailing address
213 ARROWHEAD BLVD, SUITE D, JONESBORO, GA 30236-1168
(770) 703-8074
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
61081
GA
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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