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Organization

BALD RIDGE FAMILY PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHEBA NAQVI MD (MANAGER)
(678) 640-1650
Entity
Organization

Contact information

Practice address
1230 BALD RIDGE MARINA RD STE 400, CUMMING, GA 30041-7859
(470) 826-1905
(470) 826-3334
Mailing address
1230 BALD RIDGE MARINA RD STE 400, CUMMING, GA 30041-7859

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/16/2023
Last updated
08/18/2023
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