Organization
ACWORTH FAMILY PRACTICE LLC
Active
Other names
ACWORTH PRIMARY HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARNISH R PATEL MD (SOLE OWNER)
(770) 529-7478
Entity
Organization
Contact information
Practice address
4465 LEMON ST, ACWORTH, GA 30101-5418
(770) 529-7478
(770) 529-7458
Mailing address
4465 LEMON ST, ACWORTH, GA 30101-5418
(770) 529-7478
(770) 529-7458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58307
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54 5241304B
—
GA
Enumeration date
07/01/2008
Last updated
05/24/2016
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