| Community Family Practice And Urgent Care P C | |
|
277 E Crogan St Lawrenceville GA 30046-5054 | |
| (770) 822-4411 | |
| Not Available |
| Full Name | Community Family Practice And Urgent Care P C |
|---|---|
| Speciality | Family Medicine |
| Location | 277 E Crogan St, Lawrenceville, Georgia |
| Authorized Official Name and Position | Alexander E Osowa (PHYSICIAN) |
| Authorized Official Contact | 7708224411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Practice And Urgent Care P C 277 E Crogan St Lawrenceville GA 30046-5054 Ph: (770) 822-4411 | Community Family Practice And Urgent Care P C 277 E Crogan St Lawrenceville GA 30046-5054 Ph: (770) 822-4411 |
| NPI Number | 1992021232 |
|---|---|
| Provider Enumeration Date | 04/12/2010 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992021232 | NPI | - | NPPES |
| 558495951A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19124296 (Georgia) | Primary |
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