Northcrest Family Medicine LLC

NPI #1255465217 in Canton, Georgia

Provider Information

NPI Number: 1255465217
Entity Type: Organization
Organization Name: Northcrest Family Medicine LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 14, 2007
Last Updated: Mar 22, 2013

Practice Location

Address: 7768 CUMMING HWY
Address 2: SUITE 300
City: Canton
State: Georgia
ZIP Code: 30114-9314
Phone: (770) 720-2113

Authorized Official

Name: MR. JOHN RICHARD JACKSON, M.D.
Title: MD / OWNER
Phone: (770) 655-1408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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