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Cornerstone Family Practice, P.c.
Specialist in Dacula, Georgia
NPI 1659551091

Cornerstone Family Practice, P.c. is a Specialist based in Dacula, GA. Cornerstone Family Practice, P.c. practices in Dacula, GA. The NPI Number for Cornerstone Family Practice, P.c. is 1659551091 and holds a License No. 043107 (Georgia).

The current practice location address for Cornerstone Family Practice, P.c. is 2098 Teron Trce, Dacula, GA and can be reached out via phone at 770-904-2112 and via fax at 678-546-3687.

Location: 2098 Teron Trce, Dacula, GA, 30019-1663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659551091
Provider Name
Cornerstone Family Practice, P.c.
Credential
Provider Entity Type
Organization
Address
2098 Teron Trce, Dacula, GA, 30019-1663
Phone Number
770-904-2112
Fax Number
678-546-3687
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08BBQMH 01 GA MEDICARE PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
2098 Teron Trce
City
Dacula
State
Georgia
Zip
30019-1663
Phone Number
770-904-2112
Fax Number
678-546-3687
person
Provider Business Mailing Address Details
Address
2098 Teron Trce
City
Dacula
State
Georgia
Zip
30019-1663
Phone Number
770-904-2112
Fax Number
678-546-3687
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
043107 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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