NPI 1063360311

Caregap Medfast Clinic PC

Organisation Multi-Specialty Clinic/Center Athens, GA

Practice location

Address: 2164 Atlanta Hwy #b, Athens, GA 30606
Phone: (404) 310-4040
Mailing address: 2164 Northern Oak Dr, Braselton, GA 30517-6064

Authorised official

Name: Gabriel Ikemba Madu
Title: Director
Phone: (404) 310-4040

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Georgia →

Registry record

NPI: 1063360311
Entity type: Organization
NPI issued: 20 Mar 2026
Record last updated: 26 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.