MEDICARE: UNITED FAMILY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	049008	GA

General Provider Information

NPI Number	:	1902088164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED FAMILY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	7794 ELLA LN STE G
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-5512
Country	:	US
Telephone Number	:	770-632-6093
Fax Number	:	770-632-6095

Provider Business Practice Location Address
First Line	:	7794 ELLA LN STE G
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-5512
Country	:	US
Telephone Number	:	770-632-6093
Fax Number	:	770-632-6095

Authorized Official
Title or Position	:	MD
Name	:	DR. CATHERINE EMERUWA
Credential	:	MD
Telephone Number	:	770-632-6093

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	12/23/2025

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