Ball Ground Family Practice,p.c.

NPI #1609045798 in Ball Ground, Georgia

Provider Information

NPI Number
1609045798
Entity Type
Organization
Organization Name
Ball Ground Family Practice,p.c.
Primary Specialty
Family Medicine
Enumeration Date
Feb 22, 2008
Last Updated
Feb 22, 2008

Practice Location

Address
255 GILMER FERRY RD
State
Georgia
ZIP Code
30107-2908
Phone
(770) 735-6755

Authorized Official

Name
CHARLES L COSTER, DO
Title
PHYSICIAN
Phone
(770) 735-6755

Specialties & Taxonomy Codes

Specialty
Family Medicine

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