FAIRBURN SOUTHPARK MEDICAL AND SURGICAL CLINIC

FAIRBURN, GA
NPI1780739318
Former Legal Business NameR.C.SOUZA, MD,PC
Entity TypeOrganization
Authorized ContactRENATO CHAVES SOUZA
President Treasurer
770-964-9759
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2007-01-24
Last Update Date2020-08-22
Business Address
FAIRBURN SOUTHPARK MEDICAL AND SURGICAL CLINIC
204 SENOIA RD
FAIRBURN, GA 30213-1536
Phone number: 770-964-9759
Mailing Address
FAIRBURN SOUTHPARK MEDICAL AND SURGICAL CLINIC
204 SENOIA RD
FAIRBURN, GA 30213-1536
Phone number: 770-964-9759