Organization Name: | ALPHARETTA FAMILY PRACTICE |
NPI Number: | 1457649519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID P MCGAULEY (OWNER/PROVIDER) |
Mailing Address: | 3330 Preston Ridge Rd Suite 340 Alpharetta |
State: | GA US |
Postal Code: | 300054508 |
Phone Number: | 7704753200 |
Fax Number: | 7704752228 |
NPI Enumeration Date: | 07/11/2011 |
NPI Last Update Date: | 07/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |