Organization
ACWORTH FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J KUZIO M.D. (OWNER)
(678) 354-0230
Entity
Organization
Contact information
Practice address
5150 STILESBORO RD NW, SUITE 120, KENNESAW, GA 30152-7744
(678) 354-0230
(678) 354-0828
Mailing address
5150 STILESBORO RD NW, SUITE 120, KENNESAW, GA 30152-7744
(678) 354-0230
(678) 354-0828
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
040714
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160227
COVENTRY HEALTHCARE OF GA
GA
01
—
1775856
UNITED HEALTHCARE
GA
01
—
759253
BLUECROSS BLUESHIELD GA
GA
01
—
9289602
CIGNA HEALTHCARE
GA
Enumeration date
01/17/2007
Last updated
09/07/2010
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