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EAGLE DRIVE FAMILY MEDICINE PC
NPI 1750514295
General Practice in Woodstock, GA

Active since September 01, 2009
1816 EAGLE DR, SUITE 200-B, WOODSTOCK, GA 30189(678) 445-5995 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Drive Family Medicine Pc NPPES

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

EAGLE DRIVE FAMILY MEDICINE PC (NPI 1750514295) is a healthcare organization registered as a general practice in Woodstock, Georgia and active in the NPI registry since September 2009. The organization lists Richard Leon Manrique, President, as its authorized official.

NPPES Registry Identity

NPI1750514295
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEAGLE DRIVE FAMILY MEDICINE PC
Location Address1816 EAGLE DR, SUITE 200-BWoodstock, GA 30189-8272
Mailing Address1816 Eagle Dr, Suite 200-bWoodstock, GA 30189-8272 · (678) 445-5995
Phone(678) 445-5995
Organization SubpartNo
Authorized OfficialRichard Leon ManriquePresident · (678) 445-5995
Enumeration DateSeptember 1, 2009
Last NPPES UpdateJanuary 25, 2012
✔ NPI 1750514295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1816 EAGLE DR, Woodstock, GA 30189
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN NEIL DYE PTA
Physical Therapy Assistant
1816 EAGLE DR
WOODSTOCK, GA 30189
Cherokee County (770) 516-9191
KRAGOR ORTHODONTICS LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1816 EAGLE DR, SUITE 100-B
WOODSTOCK, GA 30189
Cherokee County (206) 854-8585
DR. ROBERT RIESING PT,DPT
Physical Therapist
1816 EAGLE DR, SUITE C
WOODSTOCK, GA 30189
Cherokee County (847) 421-9421
PARK PEDIATRIC DENTISTRY OF WOODSTOCK, LLC
Dentist (Pediatric Dentistry)
1816 EAGLE DR, SUITE 200-C
WOODSTOCK, GA 30189
Cherokee County (770) 926-9260
DR. SCOTT HARDEN D.D.S.
Dentist (General Practice)
1816 EAGLE DR, BLDG 200 STE A
WOODSTOCK, GA 30189
Cherokee County (770) 926-0000
RICHARD LEON MANRIQUE MD
General Practice
1816 EAGLE DR, SUITE 200-B
WOODSTOCK, GA 30189
Cherokee County (404) 822-5605
DR. JULIUS PARK D.M.D.
Dentist (Pediatric Dentistry)
1816 EAGLE DR, 200-C
WOODSTOCK, GA 30189
Cherokee County (770) 926-9260
PT SOLUTIONS OF ACWORTH, LLC
Physical Therapist
1816 EAGLE DR, BUILDING 100, SUITE C
WOODSTOCK, GA 30189
Cherokee County (770) 516-9191

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 Eagle Drive Family Medicine PC's NPI number?

The NPI number for Eagle Drive Family Medicine PC is 1750514295. It was assigned to this organization in the NPPES registry on September 1, 2009.

Where is Eagle Drive Family Medicine PC located?

Eagle Drive Family Medicine PC is located at 1816 Eagle Dr Suite 200-B, Woodstock, GA 30189. The listed phone number is (678) 445-5995.

What is Eagle Drive Family Medicine PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Eagle Drive Family Medicine PC was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.