| Johns Creek Family Medicine Llc | |
|
4365 Johns Creek Pkwy Suite 430 Suwanee GA 30024-6089 | |
| (678) 474-0040 | |
| (678) 474-0095 |
| Full Name | Johns Creek Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4365 Johns Creek Pkwy, Suwanee, Georgia |
| Authorized Official Name and Position | James L Roth (MEMBER) |
| Authorized Official Contact | 6784740040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johns Creek Family Medicine Llc 4365 Johns Creek Pkwy Suite 430 Suwanee GA 30024-6089 Ph: (678) 474-0040 | Johns Creek Family Medicine Llc 4365 Johns Creek Pkwy Suite 430 Suwanee GA 30024-6089 Ph: (678) 474-0040 |
| NPI Number | 1720272412 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720272412 | NPI | - | NPPES |
| DB1574 | Other | RAILROAD MEDICARE GROUP | |
| GRP4691 | Other | MEDICARE GROUP NUMBER | |
| 000971308A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 046525 (Georgia) | Primary |
Novo Total Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Peachtree Industrial Blvd, Suite 2203, Suwanee, GA 30024 Phone: 770-988-2779 Fax: 678-730-0229 | |
Hope Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3410 Paddocks Pkwy, Suwanee, GA 30024 Phone: 770-395-0478 | |
Perimeter North Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4375 Johns Creek Pkwy, Suite 320, Suwanee, GA 30024 Phone: 770-623-1331 Fax: 770-623-5674 | |
Optimal Longevity Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Peachtree Industrial Blvd Ste 1201, Suwanee, GA 30024 Phone: 678-614-9848 | |
Atlanta Gastroenterology Specialists, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4395 Johns Creek Pkwy Ste 130, Suwanee, GA 30024 Phone: 678-357-0057 Fax: 678-382-6406 | |
Paul Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4355 Johns Creek Pkwy, Suite 500, Suwanee, GA 30024 Phone: 770-623-0008 Fax: 770-623-0009 | |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7350 Mcginnis Ferry Rd Ste 200, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 |