OrganizationActive
North Fayette Family Practice
NPI 1154431732 · Ph.D. Medical Genetics · Fayetteville, GA
Provider details
- NPI number
- 1154431732
- Entity type
- Organization
- Primary specialty
- Ph.D. Medical GeneticsOther Service Providers
- Organization subpart
- No
- Authorized official
- Kelvin White, Owner(770) 716-8228
- License
- 33753 (GA)
Specialties & taxonomies
Other Service Providers
Practice location
290 Highway 314 Ste B
Fayetteville, GA 30214-7813
Phone: (770) 716-8228
Approximate (ZIP-level) locationGet directions
Mailing address
290 Highway 314 Ste B
Fayetteville, GA 30214-7813
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.