Favor Family Medical Practice LLC

NPI #1336762913 in Canton, Georgia

Provider Information

NPI Number: 1336762913
Entity Type: Organization
Organization Name: Favor Family Medical Practice LLC
Primary Specialty: Family Medicine
Enumeration Date: May 18, 2020
Last Updated: Jan 21, 2021

Practice Location

Address: 103 MOUNTAIN BROOK DR STE 100
City: Canton
State: Georgia
ZIP Code: 30115-9078
Phone: (678) 880-8893

Authorized Official

Name: EUNICE MOMEH, NP
Title: CEO
Phone: (678) 880-8893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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