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General NPI Number Information
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NPI Number | 1811823594
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Entity Type | Organization
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Legal Business Name | PACES FERRY HEALTH LLC
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 4300 PACES FERRY RD SE STE 500
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City | ATLANTA
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State | GA
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Zip | 30339-5714
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Country | US
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Telephone | 470-706-5344
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Fax | 800-862-8696
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Provider Business Mailing Address
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Address Line | 4300 PACES FERRY RD SE STE 500
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City | ATLANTA
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State | GA
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Zip | 30339-5714
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Country | US
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Telephone | 470-706-5344
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Fax | 800-862-8696
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | TIMOTHY HUTTON
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Credential | MD
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Telephone | 706-231-7689
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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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