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NORTH FAYETTE FAMILY PRACTICE NPI 1154431732


NPI Information

NPI: 1154431732
Provider Name: NORTH FAYETTE FAMILY PRACTICE
Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Organization
Address:
290 HIGHWAY 314 STE B
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 716-8228
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NORTH FAYETTE FAMILY PRACTICE is a medical genetics phd medical genetics in Fayetteville, GA. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. NORTH FAYETTE FAMILY PRACTICE NPI is 1154431732. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

290 HIGHWAY 314 STE B
FAYETTEVILLE, GA
ZIP 30214-813
Phone: (770) 716-8228

The provider's authorized official is Kelvin D White .
The authorized official title is Owner and has the following contact phone number (770) 716-8228.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1170100000XMedical Genetics, Ph.D. Medical Genetics33753GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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