Healthcare Provider Details

I. General information

NPI: 1578590527
Provider Name (Legal Business Name): FAMILY HEALTH ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 W CANDLER ST
WINDER GA
30680-2558
US

IV. Provider business mailing address

63 W CANDLER ST
WINDER GA
30680-2558
US

V. Phone/Fax

Practice location:
  • Phone: 770-867-4541
  • Fax: 770-867-2583
Mailing address:
  • Phone: 770-867-4541
  • Fax: 770-867-2583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateGA

VIII. Authorized Official

Name: DR. GAREY H HUFF JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 770-867-4541