Organization
MAGNOLIA FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YARA L FATTOUH M.D. (M.D.)
(706) 695-5500
Entity
Organization
Contact information
Practice address
1111 HWY 76, CHATSWORTH, GA 30705
(706) 695-5500
(706) 695-5512
Mailing address
P.O. BOX 1383, CHATSWORTH, GA 30705
(706) 695-5500
(706) 695-5512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
053522
GA
Other
Enumeration date
05/21/2009
Last updated
06/06/2012
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