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1184215428
PERSONAL PRIMARY CARE OF GEORGIA
DACULA, GA
NPI
1184215428
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Entity Type
Organization
Authorized Contact
KIMBERLY FARR
Provider
678-315-9943
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2021-01-29
Last Update Date
2021-01-29
Business Address
PERSONAL PRIMARY CARE OF GEORGIA
1295 CHIPPEWA OAK DR
DACULA, GA 30019-1288
Phone number: 678-315-9943
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Mailing Address
PERSONAL PRIMARY CARE OF GEORGIA
1295 CHIPPEWA OAK DR
DACULA, GA 30019-1288
Phone number: 678-315-9943
Copy
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