NPI 1154431732

North Fayette Family Practice

Organisation Ph.D. Medical Genetics Fayetteville, GA

Practice location

Address: 290 Highway 314 STE B, Fayetteville, GA 30214-7813
Phone: (770) 716-8228

Authorised official

Name: Kelvin D White
Title: Owner
Phone: (770) 716-8228

Registered specialties

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X Licence 33753 (GA)

Other Medical Genetics, Ph.D. Medical Genetics providers in Georgia →

Registry record

NPI: 1154431732
Entity type: Organization
NPI issued: 30 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.