Organization
NW GEORGIA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKO ZACHERY (OFFICE MANAGER)
(770) 516-3500
Entity
Organization
Contact information
Practice address
2526 SHALLOWFORD ROAD, SUITE C, MARIETTA, GA 30066
(770) 516-3500
(770) 516-3660
Mailing address
2513 SHALLOWFORD RD, BUILDING 100, MARIETTA, GA 30066-6809
(770) 516-3500
(770) 516-3660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
03/17/2008
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