THE SHAFIQ GROUP


Address: 910 Athens Hwy Ste K245, Loganville, GA 30052-4952
Phone: 7704454088

THE SHAFIQ GROUP (NPI# 1700357878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700357878
Entity Type Organization
Organization Name THE SHAFIQ GROUP
Practice Address 910 Athens Hwy Ste K245
Loganville
GA 30052-4952
Practice Telephone 7704454088
Mailing Telephone 7704454088
Enumeration Date 2018-12-16
Last Update Date 2018-12-16
Authorized Official Name KHALIL SHAFIQ (OWNER)
Authorized Official Telephone 7704554088
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Office Location

Street Address 910 ATHENS HWY STE K245
City LOGANVILLE
State GA
Zip Code 30052-4952

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1831688654 Julia Smith Physician Assistant 2745 Loganville Hwy, Loganville, GA 30052 2018-05-07
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1346738655 Laura Martha Avila Nurse Practitioner 221 The Esplanade Way Se, Loganville, GA 30052 2018-04-23
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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Competitor

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City LOGANVILLE
Zip Code 30052

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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