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1083010201
NISSI FAMILY MEDICINE LLC
AUSTELL, GA
NPI
1083010201
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Entity Type
Organization
Authorized Contact
MARGA NGWANG
Owner/Medical Director
678-540-7597
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2014-11-16
Last Update Date
2014-11-16
Business Address
NISSI FAMILY MEDICINE LLC
1810 MULKEY RD SUITE 105
AUSTELL, GA 30106-1151
Phone number: 678-540-7597
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Mailing Address
NISSI FAMILY MEDICINE LLC
1810 MULKEY RD SUITE 105
AUSTELL, GA 30106-1151
Phone number: 678-540-7597
Copy
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