Ghosn Family Medicine | |
73 Prestige Ln Ste 103 Dawsonville GA 30534-6370 | |
(678) 858-6179 | |
(706) 429-0033 |
Full Name | Ghosn Family Medicine |
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Speciality | Family Medicine |
Location | 73 Prestige Ln Ste 103, Dawsonville, Georgia |
Authorized Official Name and Position | Ramzi Nabih Ghosn (OWNER) |
Authorized Official Contact | 6788586179 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ghosn Family Medicine 73 Prestige Ln Ste 103 Dawsonville GA 30534-6370 Ph: (678) 858-6179 | Ghosn Family Medicine 73 Prestige Ln Ste 103 Dawsonville GA 30534-6370 Ph: (678) 858-6179 |
NPI Number | 1669860334 |
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Provider Enumeration Date | 01/05/2015 |
Last Update Date | 03/24/2025 |
Medicare PECOS PAC ID | 2466763891 |
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Medicare Enrollment ID | O20150625001457 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669860334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 057974 (Georgia) | Primary |
Provider Name | Ramzi N Ghosn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407943301 PECOS PAC ID: 6406854629 Enrollment ID: I20061127000160 |
Provider Name | Melanie Stovall Fortenberry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487853990 PECOS PAC ID: 7810078128 Enrollment ID: I20080112000022 |
Provider Name | Cara R Cronia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578038949 PECOS PAC ID: 6406196856 Enrollment ID: I20190320003499 |
Provider Name | Paul C Woody |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447605936 PECOS PAC ID: 5496028037 Enrollment ID: I20190926002844 |
Provider Name | Meagan D Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881140598 PECOS PAC ID: 8426440769 Enrollment ID: I20220119001791 |
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