Healthcare Provider Details

I. General information

NPI: 1982512158
Provider Name (Legal Business Name): GEORGIA FAMILY CARE PEDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3497 DULUTH PARK LN # 200
DULUTH GA
30096-3259
US

IV. Provider business mailing address

3497 DULUTH PARK LN # 200
DULUTH GA
30096-3259
US

V. Phone/Fax

Practice location:
  • Phone: 678-205-4999
  • Fax:
Mailing address:
  • Phone: 678-205-4999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DHARMESHKUMAR PATEL
Title or Position: OWNER
Credential: MD
Phone: 404-788-9957