| Governors Famiily Medical Group, Llc | |
|
4900 Ivey Rd Nw Suite 1826 Acworth GA 30101-4001 | |
| (770) 975-9077 | |
| (770) 790-4964 |
| Full Name | Governors Famiily Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4900 Ivey Rd Nw, Acworth, Georgia |
| Authorized Official Name and Position | Heath Trowell (OWNER) |
| Authorized Official Contact | 7709759077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Governors Famiily Medical Group, Llc 4900 Ivey Rd Nw Suite 1826 Acworth GA 30101-4001 Ph: (770) 975-9077 | Governors Famiily Medical Group, Llc 4900 Ivey Rd Nw Suite 1826 Acworth GA 30101-4001 Ph: (770) 975-9077 |
| NPI Number | 1265666176 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 11/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265666176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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