Fairburn Southpark Medical and Surgical Clinic
NPI #1780739318 in Fairburn, Georgia
Provider Information
- NPI Number
- 1780739318
- Entity Type
- Organization
- Organization Name
- Fairburn Southpark Medical and Surgical Clinic
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. RENATO CHAVES SOUZA, MD
- Title
- PRESIDENT TREASURER
- Phone
- (770) 964-9759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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