# NORTH GEORGIA PHYSICAL MEDICINE

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

## Provider details

- **NPI number:** 1629586698
- **Authorized official:** JOHN DEMBOSKI (OWNER)
- **Authorized official phone:** (770) 888-8292

## Contact information

- **Practice address:** 6030 BETHELVIEW RD STE 502, CUMMING, GA 30040-8025
- **Practice address phone:** (770) 888-8292
- **Practice address fax:** (770) 888-9858
- **Mailing address:** 6030 BETHELVIEW RD STE 502, CUMMING, GA 30040-8025
- **Mailing address phone:** (770) 888-8292
- **Mailing address fax:** (770) 888-9858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2018
- **Last updated:** 01/12/2018