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FAMILY MEDICAL CLINIC OF SNELLVILLE
NPI 1568628618
Clinic/Center - Primary Care in Snellville, GA

Active since July 29, 2008
3891 STONE MOUNTAIN HWY, SNELLVILLE, GA 30039(770) 972-4764(770) 972-4164 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Medical Clinic Of Snellville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICAL CLINIC OF SNELLVILLE (NPI 1568628618) is a healthcare organization registered as a primary care in Snellville, Georgia and active in the NPI registry since July 2008. The organization lists Gordon Glenn Freeman, President, as its authorized official.

NPPES Registry Identity

NPI1568628618
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAMILY MEDICAL CLINIC OF SNELLVILLE
Location Address3891 STONE MOUNTAIN HWYSnellville, GA 30039-3932
Mailing Address3891 Stone Mountain HwySnellville, GA 30039-3932 · (770) 972-4764 · Fax (770) 972-4164
Phone(770) 972-4764
Fax(770) 972-4164
Organization SubpartNo
Authorized OfficialGordon Glenn FreemanPresident · (770) 972-4764
Enumeration DateJuly 29, 2008
Last NPPES UpdateJune 10, 2015
✔ NPI 1568628618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 023958
3891 STONE MOUNTAIN HWY, Snellville, GA 30039
Open in Google Maps ↗

Other Identifiers 4

Other4073314GA · Aetna Provider Id
Medicare PIN511G700755GA
Other1083652267Ind. Npi
Other52260821001GA · Bc Provider Id

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Medical Clinic Of Snellville's NPI number?

The NPI number for Family Medical Clinic Of Snellville is 1568628618. It was assigned to this organization in the NPPES registry on July 29, 2008.

Where is Family Medical Clinic Of Snellville located?

Family Medical Clinic Of Snellville is located at 3891 Stone Mountain Hwy, Snellville, GA 30039. The listed phone number is (770) 972-4764.

What is Family Medical Clinic Of Snellville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Family Medical Clinic Of Snellville was last updated on June 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.