NPI 1205032836

Maternal and Family Medicine Ctr

Organisation Family Medicine Physician Suwanee, GA

Practice location

Address: 1630 Peachtree Industrial Blvd STE a, Suwanee, GA 30024-1839
Phone: (770) 831-9956
Fax: (770) 831-9958

Authorised official

Name: Benjamin Laremont
Title: Owner
Phone: (770) 831-9956

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence GA051967 (GA)

Other Family Medicine providers in Georgia →

Registry record

NPI: 1205032836
Entity type: Organization
NPI issued: 21 Jun 2007
Record last updated: 10 May 2012

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.