Grayson Primary Care Llc

NPI 1417903451 - Family Medicine - 207Q00000X

NPI Details
NPI 1417903451
Enumeration Date 05/25/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK MARK
Position VP
Phone (678) 225-4999
Fax (678) 225-5546
Practice Location
2594 LOGANVILLE HWY
SUITE 101
GRAYSON GA, 30017-1617, US
Phone (678) 225-4999
Fax (678) 225-5546
Business Location
2594 LOGANVILLE HWY
SUITE 101
GRAYSON GA, 30017-1617, US
Phone (678) 225-4999
Fax (678) 225-5546
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Grayson Primary Care Llc NPI is 1417903451, taxonomy code is 207Q00000X Grayson Primary Care Llc physically located at 2594 Loganville Hwy, Grayson GA, 30017-1617. NPI Number 1033115704 has the healthcare provider type.

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1417903451 NPI number is provided on an as is basis without warranty of any kind. 1417903451 is maintained by the National Plan & Provider Enumeration System. The contents of Grayson Primary Care Llc are for informational purposes only.