Willow Creek Family Medicine, Pc | |
11685 Alpharetta Hwy Ste 300 Roswell GA 30076-4913 | |
(678) 325-6611 | |
(678) 325-6616 |
Full Name | Willow Creek Family Medicine, Pc |
---|---|
Speciality | Family Medicine |
Location | 11685 Alpharetta Hwy, Roswell, Georgia |
Authorized Official Name and Position | Lisa M. Rosa-re (OWNER/PHYSICIAN) |
Authorized Official Contact | 6783256611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Willow Creek Family Medicine, Pc 11685 Alpharetta Hwy Ste 300 Roswell GA 30076-4913 Ph: (678) 325-6611 | Willow Creek Family Medicine, Pc 11685 Alpharetta Hwy Ste 300 Roswell GA 30076-4913 Ph: (678) 325-6611 |
NPI Number | 1225133796 |
---|---|
Provider Enumeration Date | 09/13/2006 |
Last Update Date | 12/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225133796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 029768 (Georgia) | Primary |
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