# MED STOP FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073123709
- **Authorized official:** PATTI LORRI MARAT APRN, NP-C (MEMBER/OWNER)
- **Authorized official phone:** (478) 412-2105

## Contact information

- **Practice address:** 106 W 2ND AVE, SANDERSVILLE, GA 31082-9204
- **Practice address phone:** (478) 412-2105
- **Practice address fax:** (706) 432-1620
- **Mailing address:** 106 W 2ND AVE, SANDERSVILLE, GA 31082-9204
- **Mailing address phone:** (478) 412-2105
- **Mailing address fax:** (706) 432-1620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2020
- **Last updated:** 01/11/2023