Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Eagle Drive Family Medicine PC

Organization General Practice Physician · NPI 1750514295

Eagle Drive Family Medicine PC provides General Practice Physician services in Woodstock, Georgia. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1816 Eagle Dr Ste 200-B
Woodstock, GA 30189-8272 Not confirmed with CMS for 14 years — call before visiting
Phone: (678) 445-5995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1750514295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Manrique — President · (678) 445-5995
NPI enumeratedSeptember 1, 2009
Last updated in NPPESJanuary 25, 2012
Mailing address1816 Eagle Dr, Suite 200-B, Woodstock, GA 30189-8272

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