| Nw Ga Family Practice,llc | |
|
2526 Shallowford Rd Suite C Marietta GA 30066-3053 | |
| (770) 516-3500 | |
| (770) 516-3660 |
| Full Name | Nw Ga Family Practice,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2526 Shallowford Rd, Marietta, Georgia |
| Authorized Official Name and Position | Tamiko Zachery (OFFICE MANAGER) |
| Authorized Official Contact | 7705163500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Ga Family Practice,llc 2526 Shallowford Rd Suite C Marietta GA 30066-3053 Ph: (770) 516-3500 | Nw Ga Family Practice,llc 2526 Shallowford Rd Suite C Marietta GA 30066-3053 Ph: (770) 516-3500 |
| NPI Number | 1740214931 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740214931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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