Organization
BETHESDA FAMILY PRACTICE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK T SALTZ M.D. (PHYSICIAN)
(770) 943-3139
Entity
Organization
Contact information
Practice address
4039 ATLANTA ST, POWDER SPRINGS, GA 30127-2666
(770) 943-3139
(770) 439-5501
Mailing address
4039 ATLANTA ST, POWDER SPRINGS, GA 30127-2666
(770) 943-3139
(770) 439-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031115
GA
Other
Enumeration date
11/10/2006
Last updated
07/13/2010
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