Organization
A HUMBLING SPIRIT FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA D HAMILTON-BYNUM (EXECUTIVE DIRECTOR)
(404) 358-0443
Entity
Organization
Contact information
Practice address
2412 HORSESHOE BEND RD SW, MARIETTA, GA 30064-4412
(404) 358-0443
(678) 348-7577
Mailing address
PO BOX 2198, SMYRNA, GA 30081-2198
(404) 358-0443
(678) 348-7577
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
08697
GA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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