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Ivy Falls Family Medicine
Clinic/Center in Duluth, Georgia
NPI 1922118595

Ivy Falls Family Medicine is a Clinic/Center based in Duluth, GA. Ivy Falls Family Medicine practices in Duluth, GA. The NPI Number for Ivy Falls Family Medicine is 1922118595 and holds a License No. BL0600486 (Georgia).

The current practice location address for Ivy Falls Family Medicine is 10475 Medlock Bridge Rd, Duluth, GA and can be reached out via phone at 678-990-4828 and via fax at 678-990-4824.

Location: 10475 Medlock Bridge Rd, Duluth, GA, 30097-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922118595
Provider Name
Ivy Falls Family Medicine
Credential
Provider Entity Type
Organization
Address
10475 Medlock Bridge Rd, Duluth, GA, 30097-2002
Phone Number
678-990-4828
Fax Number
678-990-4824
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10475 Medlock Bridge Rd
City
Duluth
State
Georgia
Zip
30097-2002
Phone Number
678-990-4828
Fax Number
678-990-4824
person
Provider Business Mailing Address Details
Address
10475 Medlock Bridge Rd
City
Duluth
State
Georgia
Zip
30097-2002
Phone Number
678-990-4828
Fax Number
678-990-4824
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
BL0600486 (Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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