OrganizationNw Ga Family Practice,LlcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2526 Shallowford Rd, Suite C, Marietta, GA 30066-3053(770) 516-3500PECOS EnrollmentBased on the most recent information from CMS, provider Nw Ga Family Practice,Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1740214931Provider TypeOrganizationFull NameNw Ga Family Practice,LlcSubpartNoEnumeration Date7/11/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address2526 Shallowford Rd, Suite C, Marietta, GA 30066-3053Phone(770) 516-3500Fax(770) 516-3660Mailing LocationMailing Address2526 Shallowford Rd, Suite C, Marietta, GA 30066-3053Phone(770) 516-3500Fax(770) 516-3660Authorized OfficialNameZachery, Tamiko (Office Manager)Phone(770) 516-3500Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer