| Organization Name: | FAMILY PRACTICE & SURGERY |
| NPI Number: | 1780836064 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OMAR AKHRAS (SOLE MER) |
| Mailing Address: | 120 Sparta Hwy Eatonton |
| State: | GA US |
| Postal Code: | 310248484 |
| Phone Number: | 7064854002 |
| Fax Number: | 7064857117 |
| NPI Enumeration Date: | 10/17/2008 |
| NPI Last Update Date: | 10/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 020504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |