Organization
CUMMING FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEEVANA KRISHNA M.D. (OWNER)
(770) 205-1274
Entity
Organization
Contact information
Practice address
765 LANIER 400 PKWY, CUMMING, GA 30040-2539
(770) 205-1294
(770) 205-1783
Mailing address
765 LANIER 400 PKWY, CUMMING, GA 30040-2539
(770) 205-1294
(770) 205-1783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032759
GA
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000579961C
—
GA
Enumeration date
08/24/2006
Last updated
12/03/2025
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