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Contact Information

NW GEORGIA FAMILY PRACTICE
2526 SHALLOWFORD ROAD
SUITE C
MARIETTA, GA30066
 Phone: 770-516-3500
 Fax: 770-516-3660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NW GEORGIA FAMILY PRACTICE · (Female)

NPI # 1053405704
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 03/17/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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