# ACWORTH FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACWORTH PRIMARY HEALTHCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588826481
- **Authorized official:** DR. HARNISH R PATEL MD (SOLE OWNER)
- **Authorized official phone:** (770) 529-7478

## Contact information

- **Practice address:** 4465 LEMON ST, ACWORTH, GA 30101-5418
- **Practice address phone:** (770) 529-7478
- **Practice address fax:** (770) 529-7458
- **Mailing address:** 4465 LEMON ST, ACWORTH, GA 30101-5418
- **Mailing address phone:** (770) 529-7478
- **Mailing address fax:** (770) 529-7458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 58307 | GA | Yes |

## Other

- **Enumeration date:** 07/01/2008
- **Last updated:** 05/24/2016