| Maternal And Family Medicine Ctr | |
|
1630 Peachtree Industrial Blvd Ste A Suwanee GA 30024-1839 | |
| (770) 831-9956 | |
| (770) 831-9958 |
| Full Name | Maternal And Family Medicine Ctr |
|---|---|
| Speciality | Family Medicine |
| Location | 1630 Peachtree Industrial Blvd, Suwanee, Georgia |
| Authorized Official Name and Position | Benjamin Laremont (OWNER) |
| Authorized Official Contact | 7708319956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maternal And Family Medicine Ctr 1630 Peachtree Industrial Blvd Ste A Suwanee GA 30024-1839 Ph: (770) 831-9956 | Maternal And Family Medicine Ctr 1630 Peachtree Industrial Blvd Ste A Suwanee GA 30024-1839 Ph: (770) 831-9956 |
| NPI Number | 1205032836 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 05/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205032836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | GA051967 (Georgia) | Primary |
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