| Southwire Family Medical Center | |
|
1128 S Park St Carrollton GA 30119-4450 | |
| (770) 836-0870 | |
| (770) 836-1837 |
| Full Name | Southwire Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1128 S Park St, Carrollton, Georgia |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwire Family Medical Center 5500 Maryland Way Brentwood TN 37027-4948 Ph: (844) 407-7557 | Southwire Family Medical Center 1128 S Park St Carrollton GA 30119-4450 Ph: (770) 836-0870 |
| NPI Number | 1437213709 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437213709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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