| NPI | 1093020240 |
|---|---|
| Doing Business As | FAYETTE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | FLOYD SORIANO President And CEO 678-519-3189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2011-10-07 |