Organization
MYFAMILYDOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVIN BATUK TALATI MD (DIRECTOR/PHYSICIAN)
(706) 778-3912
Entity
Organization
Contact information
Practice address
101 ADAMS DR, DEMOREST, GA 30535-4565
(706) 778-3912
(706) 776-6259
Mailing address
101 ADAMS DR, DEMOREST, GA 30535-4565
(706) 778-3912
(706) 776-6259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67172
GA
Other
Enumeration date
02/19/2013
Last updated
08/27/2023
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