CAREGAP MEDFAST CLINIC PC; NPI #1063360311

Contact Information

CAREGAP MEDFAST CLINIC PC

2164 ATLANTA HWY
#B
ATHENS, GA 30606

Phone: 404-310-4040
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for CAREGAP MEDFAST CLINIC PC

NPI Number	`1063360311`
LBN Legal business name	CAREGAP MEDFAST CLINIC PC
Authorized official	GABRIEL MADU - (DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/20/2026
Last updated	03/26/2026 - About 2 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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