Ft Gaines Medical Associates PC

NPI #1598945347 in Fort Gaines, Georgia

Provider Information

NPI Number: 1598945347
Entity Type: Organization
Organization Name: Ft Gaines Medical Associates PC
Primary Specialty: Family Medicine
Enumeration Date: Nov 9, 2007
Last Updated: Jul 11, 2008

Practice Location

Address: 106 HARTFORD RD E
City: Fort Gaines
State: Georgia
ZIP Code: 39851-3638
Phone: (229) 768-2633

Authorized Official

Name: ABDOLLATIF S GHIATHI, DO
Title: OWNER
Phone: (334) 793-8087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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