Family | |
4025 Lawrenceville Hwy Nw Suite A Lilburn GA 30047-2819 | |
(770) 921-7007 | |
(770) 921-7073 |
Full Name | Family |
---|---|
Speciality | Family Medicine |
Location | 4025 Lawrenceville Hwy Nw, Lilburn, Georgia |
Authorized Official Name and Position | Ava Alicia Loveering (ADMINISTRATOR) |
Authorized Official Contact | 7709217007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family 4025 Lawrenceville Hwy Nw Suite A Lilburn GA 30047-2819 Ph: (770) 921-7007 | Family 4025 Lawrenceville Hwy Nw Suite A Lilburn GA 30047-2819 Ph: (770) 921-7007 |
NPI Number | 1679769582 |
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Provider Enumeration Date | 09/25/2007 |
Last Update Date | 09/25/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679769582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 045753 (Georgia) | Primary |
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