# SNELLVILLE PRIMARY CARE

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

## Provider details

- **NPI number:** 1104033315
- **Authorized official:** DR. SARAH GHAYOURI M.D. (DOCTOR - OWNER)
- **Authorized official phone:** (770) 979-1544

## Contact information

- **Practice address:** 1800 TREE LN, STE 290A, SNELLVILLE, GA 30078-2016
- **Practice address phone:** (770) 979-1544
- **Practice address fax:** (770) 979-5662
- **Mailing address:** 1800 TREE LN, STE 290A, SNELLVILLE, GA 30078-2016
- **Mailing address phone:** (770) 979-1544
- **Mailing address fax:** (770) 979-5662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 017573 | GA | Yes |
| 207R00000X | Internal Medicine Physician | 039109 | GA | — |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 09/11/2025