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General NPI Number Information
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NPI Number | 1972766459
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Entity Type | Organization
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Legal Business Name | NORTH GEORGIA MEDICINE LLC
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Dates
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Enumeration Date | 07/06/2008
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 346 DEEP SOUTH FARM RD STE A
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-2218
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Country | US
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Telephone | 706-745-9417
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Fax | 706-896-0877
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Provider Business Mailing Address
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Address Line | 346 DEEP SOUTH FARM RD STE A
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-2218
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Country | US
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Telephone | 706-745-9417
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Fax | 706-439-6482
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | LORI NICOLE BARKER
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Credential |
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Telephone | 762-304-1948
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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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