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1922118595
IVY FALLS FAMILY MEDICINE
DULUTH, GA
NPI
1922118595
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Entity Type
Organization
Authorized Contact
ANDREA L SELLS
Office Manager
678-990-4828
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: GA BL0600486)
Enumeration Date
2006-08-30
Last Update Date
2012-06-19
Business Address
IVY FALLS FAMILY MEDICINE
10475 MEDLOCK BRIDGE RD SUITE 815
DULUTH, GA 30097-2002
Phone number: 678-990-4828
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Mailing Address
IVY FALLS FAMILY MEDICINE
10475 MEDLOCK BRIDGE RD SUITE 815
DULUTH, GA 30097-2002
Phone number: 678-990-4828
Copy
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