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

Eagle Drive Family Medicine PC

Organization General Practice Physician · NPI 1750514295

Eagle Drive Family Medicine PC is a General Practice Physician in Woodstock, Georgia. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1816 Eagle Dr Ste 200-B
Woodstock, GA 30189-8272
Phone: (678) 445-5995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1750514295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Manrique — President · (678) 445-5995
NPI enumeratedSeptember 1, 2009
Last updated in NPPESJanuary 25, 2012
Mailing address1816 Eagle Dr, Suite 200-B, Woodstock, GA 30189-8272

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