DR. YARA FATTOUH (NPI# 1518953785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518953785 |
| Entity Type | Individual |
| Full Name | DR. YARA FATTOUH |
| Credential | M.D. |
| Practice Address |
1111 Hwy 76 Chatsworth GA 30705 |
| Mailing Address |
P.o. Box 1383 Chatsworth GA 30705 |
| Practice Telephone | 7066955500 |
| Practice Fax Number | 7066955512 |
| Mailing Telephone | 7066955500 |
| Mailing Fax Number | 7066955512 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2012-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 053522 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 53522 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | TA ID NUMBER | 270193875 | 01 |
| GA | 837893819A | 05 |
| Street Address |
1111 HWY 76 |
| City | CHATSWORTH |
| State | GA |
| Zip Code | 30705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174758023 | Magnolia Family Medicine | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2009-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582784 | Kayla Michelle Khan | Dentist | 221 N. 4th Avenue, Chatsworth, GA 30705 | 2018-06-14 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1518472778 | Rebecca Annette Lunsford | Case Manager/Care Coordinator | 165 Freedom Way, Chatsworth, GA 30705 | 2017-12-11 |
| 1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
| 1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
| 1063731560 | Travis Mckie-voerste | Counselor | 96 Terrace Ct, Chatsworth, GA 30705 | 2010-05-24 |
| 1609962521 | Charlie Weichen Fang | Emergency Medicine | 707 Old Ellijay Road, Chatsworth, GA 30705 | 2006-10-05 |
| 1619941689 | Murray County Board of Health | Public Health or Welfare | 709 Dalton-ellijay Highway, Chatsworth, GA 30705 | 2006-02-15 |
| 1780671974 | Trom Enterprises, Inc. | Pharmacy | 101 Murray Plaza, Chatsworth, GA 30705 | 2005-10-03 |
| 1700355070 | Cortney Dunn | Licensed Practical Nurse | 1289 Gi Maddox Pkwy, Chatsworth, GA 30705 | 2018-11-16 |
| Find all providers in zip 30705 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043412893 | Jennifer Stevens | Family Medicine | 416 E Locust St, Chatsworth, IL 60921 | 2007-06-04 |
| 1932295474 | Northwest Valley Family Medical Clinic, Inc. | Family Medicine | 21119 Devonshire St, Chatsworth, CA 91311 | 2006-10-04 |
| 1679547061 | Charles L Tapley | Family Medicine | 824 Gi Maddox Pkwy, Chatsworth, GA 30705-2147 | 2006-02-14 |
| 1285620831 | James M Brown | Family Medicine | 320 W Market St, Chatsworth, GA 30705-2843 | 2005-09-20 |
| 1679007439 | Holly Lynch | Family Medicine | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2017-04-18 |
| 1497014633 | Alexandra Feliciano Aponte | Family Medicine | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2012-05-09 |
| 1487947644 | Healthy Family Medical Clinic, Inc. | Family Medicine | 21740 Devonshire St, Chatsworth, CA 91311-2903 | 2011-05-20 |
| 1487952123 | Robert T. Cook Md PC | Family Medicine | 100 Hospital Drive, Chatsworth, GA 30705-0430 | 2011-03-04 |
| 1174758023 | Magnolia Family Medicine | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2009-05-21 |
| 1962623652 | Martina Barte Masongsong | Family Medicine | 21119 Devonshire St, Chatsworth, CA 91311 | 2007-05-01 |
| Find all providers in CHATSWORTH | ||||
| City | CHATSWORTH |
| Zip Code | 30705 |
Please comment or provide details below to improve the information on DR. YARA FATTOUH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.