Johns Creek Family Medicine LLC

NPI #1720272412 in Suwanee, Georgia

Provider Information

NPI Number: 1720272412
Entity Type: Organization
Organization Name: Johns Creek Family Medicine LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 5, 2007
Last Updated: Oct 15, 2012

Practice Location

Address: 4365 JOHNS CREEK PKWY
Address 2: SUITE 430
City: Suwanee
State: Georgia
ZIP Code: 30024-6089
Phone: (678) 474-0040

Authorized Official

Name: JAMES L ROTH, MD
Title: MEMBER
Phone: (678) 474-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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