Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambrosia Functional Medicine LLC

Organization Family Medicine Physician · NPI 1073270997

Ambrosia Functional Medicine LLC is a Family Medicine Physician in Austell, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1668 Mulkey Rd Ste G
Austell, GA 30106-1163
Phone: (404) 585-4964
Fax: (404) 581-5838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1073270997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chibuzor Eke — Managing Partner · (404) 585-4964
NPI enumeratedNovember 27, 2021
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address5878 Graywood Cir Se, Mableton, GA 30126-2894

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