Med Fast PC
NPI #1487849857 in Loganville, Georgia
Provider Information
- NPI Number
- 1487849857
- Entity Type
- Organization
- Organization Name
- Med Fast PC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 10, 2007
- Last Updated
- Sep 21, 2007
Practice Location
- Address
- 902 ATHENS HWY
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-4904
- Phone
- (770) 554-5533
Authorized Official
- Name
- ELIZABETH MIKRUT, MD
- Title
- PRESIDENT
- Phone
- (770) 554-5533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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