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Judith Ruth Medical Center Llc
Family Nurse Practitioner in Austell, Georgia
NPI 1144912270

Judith Ruth Medical Center Llc is a Family Nurse Practitioner based in Austell, GA and is specialized in Family. Judith Ruth Medical Center Llc practices in Austell, GA. The NPI Number for Judith Ruth Medical Center Llc is 1144912270 and holds a License No. (Georgia).

The current practice location address for Judith Ruth Medical Center Llc is 1707 Blair Bridge Rd, Austell, GA and can be reached out via phone at 404-793-3806 and via fax at 770-502-6715.

Location: 1707 Blair Bridge Rd, Austell, GA, 30168-5537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144912270
Provider Name
Judith Ruth Medical Center Llc
Credential
Provider Entity Type
Organization
Address
1707 Blair Bridge Rd, Austell, GA, 30168-5537
Phone Number
404-793-3806
Fax Number
770-502-6715
Provider Enumeration Date
05/25/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003137957D 05 GA
institution
Provider Business Practice Location Address Details
Address
1707 Blair Bridge Rd
City
Austell
State
Georgia
Zip
30168-5537
Phone Number
404-793-3806
Fax Number
770-502-6715
person
Provider Business Mailing Address Details
Address
1707 Blair Bridge Rd
City
Austell
State
Georgia
Zip
30168-5537
Phone Number
404-793-3806
Fax Number
770-502-6715
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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