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General NPI Number Information
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NPI Number | 1134455181
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Entity Type | Organization
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Legal Business Name | CORNERSTONE FAMILY MEDICINE
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 960 SANDERS RD STE 800
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City | CUMMING
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State | GA
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Zip | 30041-5990
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Country | US
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Telephone | 678-455-5755
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Fax | 678-455-5756
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Provider Business Mailing Address
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Address Line | 960 SANDERS RD STE 800
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City | CUMMING
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State | GA
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Zip | 30041-5990
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Country | US
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Telephone | 678-455-5755
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Fax | 678-455-5756
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY E FINLEY
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Credential | MD
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Telephone | 678-455-5755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 056832
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License Number State | GA
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