Organization
PHYSICIANS FAMILY MEDICINE OF CANTON, LLC
Active
Other names
MD Minor Emergency & Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE COCCIOLO (BILLING SUPERVISOR)
(770) 720-7100
Entity
Organization
Contact information
Practice address
720 TRANSIT AVE, STE 101, CANTON, GA 30114-2571
(770) 720-7000
(770) 720-7055
Mailing address
720 TRANSIT AVE, STE 101, CANTON, GA 30114-2571
(770) 720-7000
(770) 720-7055
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
GA
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
05/30/2008
Last updated
05/04/2016
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