Ball Ground Family Practice,p.C.
Family Medicine in Ball Ground, GA. Organization (NPI-2).
NPI number1609045798
StatusActive
Last updated in NPPESFeb 22, 2008
Details
- NPI
- 1609045798
- Entity type
- Organization (NPI-2)
- Legal business name
- Ball Ground Family Practice,p.C.
- Organization subpart
- No
- Enumeration date
- Feb 22, 2008
- Last updated
- Feb 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 045754 | GA | Yes |
Practice location
255 Gilmer Ferry RdBall Ground, GA 30107-2908
Phone 770-735-6755 · Fax 770-735-4528
Mailing address
Po Box 127Ball Ground, GA 30107-0127
Phone 770-735-6755 · Fax 770-735-4528
Authorized official
Charles L Coster
Physician
7707356755
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