Family Medical Center Of Ne Georgia,llc

NPI 1154449486 - Family Medicine - 207Q00000X

NPI Details
NPI 1154449486
Enumeration Date 03/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RENEE RENEE
Position OFFICE MANAGER
Phone (770) 822-3031
Fax (770) 822-3032
Practice Location
555 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE GA, 30045-8716, US
Phone (770) 822-3031
Fax (770) 822-3032
Business Location
555 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE GA, 30045-8716, US
Phone (770) 822-3031
Fax (770) 822-3032
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 026300
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According to our database, Family Medical Center Of Ne Georgia,llc NPI is 1154449486, taxonomy code is 207Q00000X and license number is 026300, license state is located at Georgia. Family Medical Center Of Ne Georgia,llc physically located at 555 Old Norcross Rd, Lawrenceville GA, 30045-8716. NPI Number 1033115704 has the healthcare provider type.

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1154449486 NPI number is provided on an as is basis without warranty of any kind. 1154449486 is maintained by the National Plan & Provider Enumeration System. The contents of Family Medical Center Of Ne Georgia,llc are for informational purposes only.