Cumming Family Practice | |
319 Canton Rd Cumming GA 30040-2213 | |
(770) 886-8152 | |
(770) 886-8153 |
Full Name | Cumming Family Practice |
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Speciality | Family Medicine |
Location | 319 Canton Rd, Cumming, Georgia |
Authorized Official Name and Position | Manuel M Fajardo (OWNER) |
Authorized Official Contact | 7708868152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cumming Family Practice 319 Canton Rd Cumming GA 30040-2213 Ph: (770) 886-8152 | Cumming Family Practice 319 Canton Rd Cumming GA 30040-2213 Ph: (770) 886-8152 |
NPI Number | 1104972298 |
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Provider Enumeration Date | 01/25/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104972298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 011753 (Georgia) | Primary |
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