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960 N Point Pkwy Ste 120 Alpharetta GA 30005-8892 | |
| (770) 800-3353 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 960 N Point Pkwy Ste 120, Alpharetta, Georgia |
| Authorized Official Name and Position | Jim Ward (OWNER) |
| Authorized Official Contact | 7708003353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
960 N Point Pkwy Ste 120 Alpharetta GA 30005-8892 Ph: (770) 800-3353 | 960 N Point Pkwy Ste 120 Alpharetta GA 30005-8892 Ph: (770) 800-3353 |
| NPI Number | 1306255922 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306255922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 52971 (Georgia) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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