Organization
HERITAGE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY TEJU GUEST M.D. (PHYSICIAN)
(770) 288-3883
Entity
Organization
Contact information
Practice address
1010 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9101
(770) 288-3883
(770) 288-3885
Mailing address
1010 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9101
(770) 288-3883
(770) 288-3885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055755
GA
Other
Enumeration date
06/24/2006
Last updated
08/22/2020
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