| |
4550 Cobb Parkway North Nw Suite 201 Acworth GA 30101-4180 | |
(770) 974-4655 | |
(770) 974-7534 |
Full Name | |
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Speciality | Family Medicine |
Location | 4550 Cobb Parkway North Nw, Acworth, Georgia |
Authorized Official Name and Position | Nicole Ashe (EXECUTIVE DIRECTOR OF FINANCE) |
Authorized Official Contact | 4706440095 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4550 Cobb Parkway North Nw Suite 201 Acworth GA 30101-4180 Ph: (770) 974-4655 | 4550 Cobb Parkway North Nw Suite 201 Acworth GA 30101-4180 Ph: (770) 974-4655 |
NPI Number | 1942506654 |
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Provider Enumeration Date | 01/28/2011 |
Last Update Date | 11/19/2013 |
Identifier | Type | State | Issuer |
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1942506654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Georgia) | Primary |
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