Organization
NW GA FAMILY PRACTICE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKO ZACHERY (OFFICE MANAGER)
(770) 516-3500
Entity
Organization
Contact information
Practice address
2526 SHALLOWFORD RD, SUITE C, MARIETTA, GA 30066-3053
(770) 516-3500
(770) 516-3660
Mailing address
2526 SHALLOWFORD RD, SUITE C, MARIETTA, GA 30066-3053
(770) 516-3500
(770) 516-3660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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