EAGLE DRIVE FAMILY MEDICINE PC is a general practice in Woodstock, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee EAGLE DRIVE FAMILY MEDICINE PC NPI is 1750514295. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1816 EAGLE DR
SUITE 200-B
WOODSTOCK, GA
ZIP 30189-272
Phone: (678) 445-5995
The provider's authorized official is Richard Leon Manrique .
The authorized official title is President and has the following contact phone number (678) 445-5995.
The enumeration date for this NPI number is 9/1/2009 and was last updated on 1/25/2012.