Provider Demographics
NPI:1073233896
Name:AFYA PRIMARY CARE
Entity Type:Organization
Organization Name:AFYA PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:386-837-5590
Mailing Address - Street 1:200 TARPLEY WAY
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-6408
Mailing Address - Country:US
Mailing Address - Phone:386-837-5590
Mailing Address - Fax:
Practice Address - Street 1:200 TARPLEY WAY
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-6408
Practice Address - Country:US
Practice Address - Phone:404-482-3982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service