AMBROSIA FUNCTIONAL MEDICINE LLC – Family Medicine Physician, NPI 1073270997
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMBROSIA FUNCTIONAL MEDICINE LLC
PO BOX 1415
LITHIA SPRINGS, GA 301221167
Phone: (770) 866-7016
Type: Mailing
480 E PACES FERRY RD NE STE 8
ATLANTA, GA 303053324
Phone: (770) 866-7016
Type: Location
5878 GRAYWOOD CIR SE
MABLETON, GA 301262894
Phone: (404) 585-4964
Fax: (404) 581-5838
Type: Mailing
1668 MULKEY RD STE G
AUSTELL, GA 301061163
Phone: (404) 585-4964
Fax: (404) 581-5838
Type: Location
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30122)
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