| Georgia Medical Center | |
|
3945 Lawrenceville Hwy Nw Lilburn GA 30047-2817 | |
| (678) 380-8353 | |
| Not Available |
| Full Name | Georgia Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3945 Lawrenceville Hwy Nw, Lilburn, Georgia |
| Authorized Official Name and Position | Syed A Ali (PRACTICE MANAGER) |
| Authorized Official Contact | 7709102377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Medical Center 3945 Lawrenceville Hwy Nw Lilburn GA 30047-2817 Ph: (678) 380-8353 | Georgia Medical Center 3945 Lawrenceville Hwy Nw Lilburn GA 30047-2817 Ph: (678) 380-8353 |
| NPI Number | 1497943948 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 02/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497943948 | NPI | - | NPPES |
| 189134074B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 52073 (Georgia) | Primary |
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