Organization Name: | ALPHARETTA FAMILY MEDICINE |
NPI Number: | 1457625261 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEDRO A. RAMIREZ (MEDICAL DOCTOR/PRESIDENT) |
Mailing Address: | 261 N. Main St. Alpharetta |
State: | GA US |
Postal Code: | 300093655 |
Phone Number: | 7706645660 |
Fax Number: | 7706638672 |
NPI Enumeration Date: | 02/27/2012 |
NPI Last Update Date: | 02/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 30365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |