Organization · Type 2 NPI

Ambrosia Functional Medicine LLC

Family Medicine Physician · Austell, GA

NPI number 1073270997 Active

Practice location

1668 Mulkey Rd Ste G
Austell, GA 30106-1163

Call (404) 585-4964 Map

Fax (404) 581-5838

Mailing address

5878 Graywood Cir SE
Mableton, GA 30126-2894

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: 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 is not limited by age, sex, organ system, or disease entity.

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About NPI 1073270997

Ambrosia Functional Medicine LLC's National Provider Identifier is 1073270997, issued on Nov 27, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Austell, GA. The record was last updated on Mar 17, 2025.