Oakley Family Medical Clinic Llx

NPI #1598075475 in Fairburn, Georgia

Provider Information

NPI Number
1598075475
Entity Type
Organization
Organization Name
Oakley Family Medical Clinic Llx
Primary Specialty
Clinic/Center
Enumeration Date
Oct 13, 2010
Last Updated
Oct 13, 2010

Practice Location

Address
7794 ELLA LN
Address 2
STE G
State
Georgia
ZIP Code
30213-5511
Phone
(770) 969-0004

Authorized Official

Name
DR. PETER B RUY, M.D.
Title
MEDICAL DIRECTOR
Phone
(770) 969-0004

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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