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3755 Sixes Rd Suite 202 Canton GA 30114-7842 | |
(770) 720-1880 | |
(770) 704-7162 |
Full Name | |
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Speciality | Family Medicine |
Location | 3755 Sixes Rd, Canton, 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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3755 Sixes Rd Suite 202 Canton GA 30114-7842 Ph: (770) 720-1880 | 3755 Sixes Rd Suite 202 Canton GA 30114-7842 Ph: (770) 720-1880 |
NPI Number | 1346593316 |
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Provider Enumeration Date | 10/16/2012 |
Last Update Date | 06/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346593316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Georgia) | Primary |
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