Organization
WESTSIDE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI W. MILLSAP APRN (PRESIDENT)
(770) 387-1724
Entity
Organization
Contact information
Practice address
775 WEST AVE, SUITE A, CARTERSVILLE, GA 30120-3481
(770) 387-1724
(770) 387-1458
Mailing address
775 WEST AVE, SUITE A, CARTERSVILLE, GA 30120-3481
(770) 387-1724
(770) 387-1458
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
GA
Other
Enumeration date
07/23/2006
Last updated
07/21/2022
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