Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambrosia Functional Medicine LLC

Organization Family Medicine Physician · NPI 1073270997

Ambrosia Functional Medicine LLC provides Family Medicine Physician services in Austell, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1668 Mulkey Rd Ste G
Austell, GA 30106-1163
Phone: (404) 585-4964
Fax: (404) 581-5838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1073270997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chibuzor Eke — Managing Partner · (404) 585-4964
NPI enumeratedNovember 27, 2021
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address5878 Graywood Cir Se, Mableton, GA 30126-2894

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