Unknown Individual – Family Medicine Physician, NPI 1770520009
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
200, Medical Lane, North Canton, Canton, Cherokee County, Georgia, 30114, United States
CANTON, GA 301142421
Phone: (770) 479-1494
Fax: (770) 720-3492
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 20610 | Aspiration and/or injection of large joint or joint capsule | 30 | 24 |
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