Organization
BOLD PRIMARY LLC
Active
Other names
American Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEIA DAWSON DO (MEDICAL DIRECTOR/ EXECUTIVE OFFICER)
(470) 250-1492
Entity
Organization
Contact information
Practice address
1401 JOHNSON FERRY RD STE 390B, MARIETTA, GA 30062-6495
(470) 250-1492
(470) 235-7311
Mailing address
1401 JOHNSON FERRY RD STE 390B, MARIETTA, GA 30062-6495
(470) 250-1492
(470) 235-7311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/08/2023
Last updated
05/13/2024
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