Northcrest Family Medicine Llc in Canton - Family Medicine

Northcrest Family Medicine Llc - NPI 1255465217

Northcrest Family Medicine Llc is a Family Medicine in Canton, Georgia. Northcrest Family Medicine Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Northcrest Family Medicine Llc is 1255465217. The last update date is 2013-03-22.

Northcrest Family Medicine Llc's current location address is 7768 Cumming Hwy. Ste 300, Canton, Georgia. You can contact this provider via phone number 7707202113 and fax number 7707047365. The mailing address for Northcrest Family Medicine Llc is 7768 Cumming Hwy. Ste 300, Canton, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northcrest Family Medicine Llc
Address 7768 Cumming Hwy. Ste 300, Canton, Georgia
Phone Number 7707202113
Fax Number 7707047365
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MD / OWNER
Authorized Official Name Jackson Richard John
Credentials M.D.
Telephone Number 7706551408

NPI Number Detail

NPI Number 1255465217
Provider Enumeration Date 2007-03-14
Last Updated Date 2013-03-22

Provider Mailing Address Detail

Address 7768 Cumming Hwy. Ste 300
City Canton
State Georgia (GA)
Post Code 30114
Phone Number 7707202113
Fax Number 7707047365

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 56102
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
978224987A GA --

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FAQs about Northcrest Family Medicine Llc

What is the unique identifier code issued to Northcrest Family Medicine Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Northcrest Family Medicine Llc has been assigned the NPI (National Provider Identifier) 1255465217. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Northcrest Family Medicine Llc's facilities are situated?

The facilities of Northcrest Family Medicine Llc are physically located at the following address: 7768 Cumming Hwy. Ste 300, Canton, GA, 30114.

What is Northcrest Family Medicine Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Northcrest Family Medicine Llc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1255465217 to Northcrest Family Medicine Llc?

The Northcrest Family Medicine Llc received its 1255465217 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.

When was the Northcrest Family Medicine Llc's information last updated?

The Northcrest Family Medicine Llc's information was last updated on 2013-03-22.

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