Affordable Medical Care of Georgia LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AFFORDABLE MEDICAL CARE OF GEORGIA LLC

Practice address

2724 Evans Mill Rd
Lithonia, GA 30058-7417

Phone

(770) 484-7172

Fax

(850) 995-8810

NPI assigned

Apr 28, 2009

Last updated

Apr 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anju Garg, MD

Title

Owner

Phone

(770) 484-7172

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1144464512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5553 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711540",
            "telephone_number": "770-484-7172",
            "fax_number": "850-995-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 EVANS MILL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587417",
            "telephone_number": "770-484-7172",
            "fax_number": "850-995-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE MEDICAL CARE OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "ANJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-484-7172",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.