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General NPI Number Information
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NPI Number | 1669860334
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Entity Type | Organization
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Legal Business Name | GHOSN FAMILY MEDICINE
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 73 PRESTIGE LN STE 103
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City | DAWSONVILLE
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State | GA
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Zip | 30534-6370
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Country | US
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Telephone | 706-265-8002
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Fax | 706-429-0033
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Provider Business Mailing Address
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Address Line | 73 PRESTIGE LN STE 103
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City | DAWSONVILLE
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State | GA
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Zip | 30534-6370
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Country | US
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Telephone | 706-265-8002
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Fax | 706-429-0033
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Authorized Official
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Title or Position | OWNER
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Name | RAMZI NABIH GHOSN
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Credential | MD
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Telephone | 706-265-8002
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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 | 057974
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License Number State | GA
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