Personal Primary Care of Georgia

NPI #1184215428 in Dacula, Georgia

Provider Information

NPI Number
1184215428
Entity Type
Organization
Organization Name
Personal Primary Care of Georgia
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Jan 29, 2021
Last Updated
Jan 29, 2021

Practice Location

Address
1295 CHIPPEWA OAK DR
City
Dacula
State
Georgia
ZIP Code
30019-1288
Phone
(678) 315-9943

Authorized Official

Name
KIMBERLY FARR, NURSE PRACTITIONER
Title
PROVIDER
Phone
(678) 315-9943

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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