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NPI 1245149616

NPI 1245149616 : MAXFIELD MEDICAL DIRECT PRIMARY CARE, LLC : CUMMING, GA

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General NPI Number Information
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    NPI Number           |    1245149616
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAXFIELD MEDICAL DIRECT PRIMARY CARE, LLC 
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Dates
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    Enumeration Date     |    09/02/2026
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    Last Update Date     |    09/02/2026
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Provider Practice Location Address
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    Address Line         |    5310 MATT HWY STE 103 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30028-8611
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    Country              |    US
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    Telephone            |    470-239-4877
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    Fax                  |    470-297-3208
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Provider Business Mailing Address
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    Address Line         |    5310 MATT HWY STE 103 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30028-8611
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    Country              |    US
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    Telephone            |    470-239-4877
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    Fax                  |    470-297-3208
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Authorized Official
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    Title or Position    |    CO-FOUNDER / MEDICAL DIRECTOR
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    Name                 |     MORGAN  GARRETT 
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    Credential           |    DO
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    Telephone            |    772-342-0767
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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       |    
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    License Number State |    
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