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3245 Lawrenceville Suwanee Rd # 100 Suwanee GA 30024-6541 | |
(770) 341-9135 | |
(770) 545-6599 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3245 Lawrenceville Suwanee Rd # 100, Suwanee, Georgia |
Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (407) 447-7120 | 3245 Lawrenceville Suwanee Rd # 100 Suwanee GA 30024-6541 Ph: (770) 341-9135 |
NPI Number | 1154148526 |
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Provider Enumeration Date | 09/25/2024 |
Last Update Date | 01/24/2025 |
Identifier | Type | State | Issuer |
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1154148526 | NPI | - | NPPES |
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