| NPI | 1538347398 |
|---|---|
| Doing Business As | FAMILY PRACTICE AT PEACHTREE-DUNWOODY |
| Entity Type | Organization |
| Authorized Contact | KEVIN B. HICKS Physician 770-481-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 52959) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2019-03-27 |