Canton Family Care

NPI #1669526604 in Canton, Georgia

Provider Information

NPI Number: 1669526604
Entity Type: Organization
Organization Name: Canton Family Care
Primary Specialty: Family Medicine
Enumeration Date: Jan 23, 2007
Last Updated: Dec 29, 2009

Practice Location

Address: 200 MEDICAL LN
City: Canton
State: Georgia
ZIP Code: 30114-2421
Phone: (770) 479-1494

Authorized Official

Name: MRS. DORISE A HOUSE
Title: INSURANCE MANAGER
Phone: (770) 479-1494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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