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

Willow Creek Family Medicine, PC

Organization Family Medicine Physician · NPI 1225133796

Willow Creek Family Medicine, PC is a Family Medicine Physician in Roswell, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

11685 Alpharetta Hwy Ste 300
Roswell, GA 30076-4913
Phone: (678) 325-6611
Fax: (678) 325-6616
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 029768 (GA)

Record details

NPI number1225133796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rosa-Re — Owner/Physician · (678) 325-6611
NPI enumeratedSeptember 13, 2006
Last updated in NPPESDecember 2, 2013
Mailing address11685 Alpharetta Hwy, Ste 300, Roswell, GA 30076-4913

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