NPI 1194179861

A Humbling Spirit Family Practice, INC.

Organisation Point of Service Marietta, GA

Practice location

Address: 2412 Horseshoe Bend Rd SW, Marietta, GA 30064-4412
Phone: (404) 358-0443
Fax: (678) 348-7577
Mailing address: PO Box 2198, Smyrna, GA 30081-2198

Authorised official

Name: Sheila D Hamilton-Bynum
Title: Executive Director
Phone: (404) 358-0443

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 08697 (GA)

Other Point of Service providers in Georgia →

Registry record

NPI: 1194179861
Entity type: Organization
NPI issued: 19 Apr 2016
Record last updated: 19 Apr 2016

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.