| Divine Mercy Medical Group Llc | |
|
1260 Hiram Davis Rd Lawrenceville GA 30045-6628 | |
| (877) 258-6331 | |
| (718) 362-1651 |
| Full Name | Divine Mercy Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1260 Hiram Davis Rd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Isabelle Vikumitsi (OWNER) |
| Authorized Official Contact | 6789926132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Mercy Medical Group Llc 1260 Hiram Davis Rd Lawrenceville GA 30045-6628 Ph: (877) 258-6331 | Divine Mercy Medical Group Llc 1260 Hiram Davis Rd Lawrenceville GA 30045-6628 Ph: (877) 258-6331 |
| NPI Number | 1881419406 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881419406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 | |
Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
Metabolic Health Of Lawrenceville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 Old Snellville Hwy Ste 150, Lawrenceville, GA 30044 Phone: 678-431-1119 | |