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

Northeast Family Practice PC

Organization Primary Care Clinic/Center · NPI 1396099578

Northeast Family Practice PC is a Primary Care Clinic/Center in Norcross, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
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

4720 Peachtree Industrial Blvd Ste 202
Norcross, GA 30071-5735
Phone: (770) 514-8880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 050568 (GA)

Record details

NPI number1396099578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regina Wang — President · (404) 819-7261
NPI enumeratedNovember 9, 2012
Last updated in NPPESNovember 9, 2012
Mailing address4720 Peachtree Industrial Blvd, Ste 202, Norcross, GA 30071-5735

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