Unknown Individual – Family Medicine Physician, NPI 1093716185
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
38, Hospital Road, Newnan, Coweta, Georgia, 30263, United States
NEWNAN, GA 302631201
Phone: (770) 251-4700
Fax: (770) 251-7398
Type: Location
Jodeco Road, Stockbridge, Henry County, Georgia, 30281, United States
STOCKBRIDGE, GA 302814953
Phone: (678) 284-6300
Fax: (678) 284-6282
Type: Mailing
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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Educational use only—not medical, billing, or legal advice.
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 30263)
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