# BALD RIDGE FAMILY PRACTICE LLC

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

## Provider details

- **NPI number:** 1437932019
- **Authorized official:** DR. SHEBA NAQVI MD (MANAGER)
- **Authorized official phone:** (678) 640-1650

## Contact information

- **Practice address:** 1230 BALD RIDGE MARINA RD STE 400, CUMMING, GA 30041-7859
- **Practice address phone:** (470) 826-1905
- **Practice address fax:** (470) 826-3334
- **Mailing address:** 1230 BALD RIDGE MARINA RD STE 400, CUMMING, GA 30041-7859

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2023
- **Last updated:** 08/18/2023