| Willow Creek Family Medicine, Pc | |
|
11685 Alpharetta Hwy Ste 300 Roswell GA 30076-4913 | |
| (678) 325-6611 | |
| (678) 325-6616 |
| Full Name | Willow Creek Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11685 Alpharetta Hwy, Roswell, Georgia |
| Authorized Official Name and Position | Lisa M. Rosa-re (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6783256611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek Family Medicine, Pc 11685 Alpharetta Hwy Ste 300 Roswell GA 30076-4913 Ph: (678) 325-6611 | Willow Creek Family Medicine, Pc 11685 Alpharetta Hwy Ste 300 Roswell GA 30076-4913 Ph: (678) 325-6611 |
| NPI Number | 1225133796 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 12/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225133796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 029768 (Georgia) | Primary |
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