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

NW Georgia Family Practice

Organization Family Medicine Physician · NPI 1053405704

NW Georgia Family Practice is a Family Medicine Physician in Marietta, Georgia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2526 Shallowford Rd Ste C
Marietta, GA 30066
Phone: (770) 516-3500
Fax: (770) 516-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053405704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamiko Zachery — Office Manager · (770) 516-3500
NPI enumeratedOctober 3, 2006
Last updated in NPPESMarch 17, 2008
Mailing address2513 Shallowford Rd, Building 100, Marietta, GA 30066-6809

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