Ivy Falls Family Medicine
Ivy Falls Family Medicine provides Clinic/Center services in Duluth, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
Practice location Address checks out
10475 Medlock Bridge Rd Ste 815Duluth, GA 30097-2002 Not confirmed with CMS for 14 years — call before visiting
Phone: (678) 990-4828
Fax: (678) 990-4824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence BL0600486 (GA) |
|---|
Record details
| NPI number | 1922118595 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrea Sells — Office Manager · (678) 990-4828 |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | June 19, 2012 |
| Mailing address | 10475 Medlock Bridge Rd, Suite 815, Duluth, GA 30097-2002 |
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