Organization · Type 2 NPI

Ivy Falls Family Medicine

Clinic/Center · Duluth, GA

NPI number 1922118595 Active

Practice location

10475 Medlock Bridge Rd, Suite 815
Duluth, GA 30097-2002

Call (678) 990-4828 Map

Fax (678) 990-4824

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XBL0600486 (GA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

21 other providers at this address

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About NPI 1922118595

Ivy Falls Family Medicine's National Provider Identifier is 1922118595, issued on Aug 30, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Duluth, GA. The record was last updated on Jun 19, 2012.