Organization
IVY FALLS FAMILY MEDICINE
Active
Organization
IVY FALLS FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA L SELLS CMOM, CMIS,CMC (OFFICE MANAGER)
(678) 990-4828
Entity
Organization
Contact information
Practice address
10475 MEDLOCK BRIDGE RD, SUITE 815, DULUTH, GA 30097-2002
(678) 990-4828
(678) 990-4824
Mailing address
10475 MEDLOCK BRIDGE RD, SUITE 815, DULUTH, GA 30097-2002
(678) 990-4828
(678) 990-4824
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
BL0600486
GA
Other
Enumeration date
08/30/2006
Last updated
06/19/2012
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