| Bald Ridge Family Practice Llc | |
|
1230 Bald Ridge Marina Rd Ste 400 Cumming GA 30041-7859 | |
| (470) 826-1905 | |
| (470) 826-3334 |
| Full Name | Bald Ridge Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1230 Bald Ridge Marina Rd Ste 400, Cumming, Georgia |
| Authorized Official Name and Position | Sheba Naqvi (MANAGER) |
| Authorized Official Contact | 6786401650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bald Ridge Family Practice Llc 1230 Bald Ridge Marina Rd Ste 400 Cumming GA 30041-7859 Ph: () - | Bald Ridge Family Practice Llc 1230 Bald Ridge Marina Rd Ste 400 Cumming GA 30041-7859 Ph: (470) 826-1905 |
| NPI Number | 1437932019 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/18/2023 |
| Medicare PECOS PAC ID | 0648633008 |
|---|---|
| Medicare Enrollment ID | O20230831004430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437932019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sheba Naqvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093001018 PECOS PAC ID: 2163666280 Enrollment ID: I20130911000473 |
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