Full Plate Industries, LLC
NPI #1093434086 in Fayetteville, Georgia
Provider Information
- NPI Number
- 1093434086
- Entity Type
- Organization
- Organization Name
- Full Plate Industries, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 24, 2022
- Last Updated
- Sep 6, 2022
Practice Location
- Address
- 320 LANIER AVE W STE 200
- City
- Fayetteville
- State
- Georgia
- ZIP Code
- 30214-7443
- Phone
- (678) 469-4212
Authorized Official
- Name
- MS. KEISHA NICOLE FORD-JENRETTE
- Title
- PRINCIPAL
- Phone
- (678) 469-4212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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