Organization · Type 2 NPI
A Humbling Spirit Family Practice, Inc.
Point of Service · Marietta, GA
NPI number
1194179861
Active
Practice location
2412 Horseshoe Bend Rd SW
Marietta, GA 30064-4412
Fax (678) 348-7577
Mailing address
PO Box 2198
Smyrna, GA 30081-2198
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 08697 (GA) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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- Diversified Diagnostics, IncPoint of Service Marietta, GA NPI 1790194066
About NPI 1194179861
A Humbling Spirit Family Practice, Inc.'s National Provider Identifier is 1194179861, issued on Apr 19, 2016. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Marietta, GA. The record was last updated on Apr 19, 2016.