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

Cumming Family Practice

Organization Family Medicine Physician · NPI 1104972298

Cumming Family Practice is a Family Medicine Physician in Cumming, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

319 Canton Rd
Cumming, GA 30040-2213
Phone: (770) 886-8152
Fax: (770) 886-8153
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 011753 (GA)

Record details

NPI number1104972298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Fajardo — Owner · (770) 886-8152
NPI enumeratedJanuary 25, 2007
Last updated in NPPESAugust 22, 2020
Mailing address319 Canton Rd, Cumming, GA 30040-2213

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