Willow Creek Family Medicine, Pc in Roswell - Family Medicine
Willow Creek Family Medicine, Pc - NPI 1225133796
Willow Creek Family Medicine, Pc is a Family Medicine in Roswell, Georgia. Willow Creek Family Medicine, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Willow Creek Family Medicine, Pc is 1225133796. The last update date is 2013-12-02.
Willow Creek Family Medicine, Pc's current location address is 11685 Alpharetta Hwy, Roswell, Georgia. You can contact this provider via phone number 6783256611 and fax number 6783256616. The mailing address for Willow Creek Family Medicine, Pc is 11685 Alpharetta Hwy, Roswell, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Willow Creek Family Medicine, Pc |
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Address | 11685 Alpharetta Hwy, Roswell, Georgia |
Phone Number | 6783256611 |
Fax Number | 6783256616 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/PHYS |
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Authorized Official Name | Rosa-Re M. Lisa |
Credentials | M.D. |
Telephone Number | 6783256611 |
NPI Number Detail
NPI Number | 1225133796 |
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Provider Enumeration Date | 2006-09-13 |
Last Updated Date | 2013-12-02 |
Provider Mailing Address Detail
Address | 11685 Alpharetta Hwy |
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City | Roswell |
State | Georgia (GA) |
Post Code | 300764913 |
Phone Number | 6783256611 |
Fax Number | 6783256616 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 29768 |
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 |
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What is the Willow Creek Family Medicine, Pc's unique identification number?
The Willow Creek Family Medicine, Pc has been assigned the NPI (National Provider Identifier) Number 1225133796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Willow Creek Family Medicine, Pc is located?
The Willow Creek Family Medicine, Pc is situated at the following address: 11685 Alpharetta Hwy, Roswell, GA, 300764913.
What is the Willow Creek Family Medicine, Pc's area of specialization and corresponding taxonomy classification?
The Willow Creek Family Medicine, Pc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1225133796 assigned to Willow Creek Family Medicine, Pc?
The Willow Creek Family Medicine, Pc was issued its 1225133796 on 2006-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Willow Creek Family Medicine, Pc's details last updated?
The information pertaining to the Willow Creek Family Medicine, Pc, including its address, specialty, and other details, was most recently updated on 2013-12-02.
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