Organization
COMMUNITY FAMILY PRACTICE AND URGENT CARE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER E OSOWA M.D (PHYSICIAN)
(770) 822-4411
Entity
Organization
Contact information
Practice address
277 E CROGAN ST, LAWRENCEVILLE, GA 30046-5054
(770) 822-4411
Mailing address
277 E CROGAN ST, LAWRENCEVILLE, GA 30046-5054
(770) 822-4411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19124296
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558495951A
—
GA
Enumeration date
04/12/2010
Last updated
11/05/2015
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