CUMMING FAMILY PRACTICE
Marriage and Family Therapists at Canton Rd, Cumming, GA

License number
Georgia 011753
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MANUEL M FAJARDO M.D.
Title: OWNER
Phone: (770) 886-8152
Address
Address
319 Canton Rd, Cumming, GA 30040
National Provider ID: 1104972298
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CUMMING FAMILY PRACTICE at bizstanding.com

CUMMING FAMILY PRACTICE, LLC

319 Canton Hwy, Cumming, GA

Status:
Inactive
Registration:
Aug 11, 2003
Inactive since:
Sep 5, 2010
State ID:
0343867
Business type:
Domestic Limited Liability Company
Agent:
John D. Etheriedge,327 Dahlonega St #1001, Cumming, GA 30040 (Physical)

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