Hamilton Mill Family Complete Care, LLC

NPI #1073881405 in Dacula, Georgia

Provider Information

NPI Number: 1073881405
Entity Type: Organization
Organization Name: Hamilton Mill Family Complete Care, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: COVENANT MEDICAL CENTER, P.C.
Primary Specialty: Internal Medicine
Enumeration Date: Dec 13, 2011
Last Updated: Dec 13, 2011

Practice Location

Address: 3509 BRASELTON HWY
Address 2: BUILDING F
City: Dacula
State: Georgia
ZIP Code: 30019-1107
Phone: (770) 614-6630

Authorized Official

Name: MR. RUSSELL GLASSMAN
Title: MEMBER/MANAGER
Phone: (770) 614-6630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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