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1104972298
CUMMING FAMILY PRACTICE
CUMMING, GA
NPI
1104972298
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Entity Type
Organization
Authorized Contact
MANUEL M FAJARDO
Owner
770-886-8152
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 011753)
Enumeration Date
2007-01-25
Last Update Date
2020-08-22
Business Address
CUMMING FAMILY PRACTICE
319 CANTON RD
CUMMING, GA 30040-2213
Phone number: 770-886-8152
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Mailing Address
CUMMING FAMILY PRACTICE
319 CANTON RD
CUMMING, GA 30040-2213
Phone number: 770-886-8152
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