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Organization
WILLOW CREEK FAMILY MEDICINE, PC
Active
Organization
WILLOW CREEK FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M. ROSA-RE M.D. (OWNER/PHYSICIAN)
(678) 325-6611
Entity
Organization
Contact information
Practice address
11685 ALPHARETTA HWY, STE 300, ROSWELL, GA 30076-4913
(678) 325-6611
(678) 325-6616
Mailing address
11685 ALPHARETTA HWY, STE 300, ROSWELL, GA 30076-4913
(678) 325-6611
(678) 325-6616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029768
GA
Other
Enumeration date
09/13/2006
Last updated
12/02/2013
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