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1336762913
FAVOR FAMILY MEDICAL PRACTICE LLC
CANTON, GA
NPI
1336762913
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Entity Type
Organization
Authorized Contact
EUNICE MOMEH
CEO
678-880-8893
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-05-18
Last Update Date
2021-01-21
Business Address
FAVOR FAMILY MEDICAL PRACTICE LLC
103 MOUNTAIN BROOK DR STE 100
CANTON, GA 30115-9078
Phone number: 678-880-8893
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Mailing Address
FAVOR FAMILY MEDICAL PRACTICE LLC
103 MOUNTAIN BROOK DR STE 100
CANTON, GA 30115-9078
Phone number: 678-880-8893
Copy
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