Unknown Individual – Family Medicine Physician, NPI 1831164128
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1294 PARKVIEW LN NW
KENNESAW, GA 301524773
Phone: (770) 422-5219
Fax: (770) 422-6656
Type: Mailing
3353, Trickum Road, Woodstock, Cherokee County, Georgia, 30188, United States
SUITE 201
WOODSTOCK, GA 301884234
Phone: (770) 517-1456
Fax: (678) 238-0352
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 30152)
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