OrganizationActive
A Family Practice and Wellness Center
NPI 1184896573 · Exclusive Provider Organization · Cartersville, GA
Provider details
- NPI number
- 1184896573
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Ashley Crump, Patient Care Coordinator
Practice location
309 E Main St
Cartersville, GA 30120-3335
Phone: (770) 386-5262
Fax: (770) 386-0502
Mailing address
309 E Main St
Cartersville, GA 30120-3335
Registry dates
- Enumerated
- 2008-03-26
- Last updated
- 2025-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.