Grayson Primary Care Llc | |
2594 Loganville Hwy Suite 101 Grayson GA 30017-1617 | |
(678) 225-4999 | |
(678) 225-5546 |
Full Name | Grayson Primary Care Llc |
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Speciality | Family Medicine |
Location | 2594 Loganville Hwy, Grayson, Georgia |
Authorized Official Name and Position | Mark Pickett (VP) |
Authorized Official Contact | 6787625037 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grayson Primary Care Llc 2594 Loganville Hwy Suite 101 Grayson GA 30017-1617 Ph: (678) 225-4999 | Grayson Primary Care Llc 2594 Loganville Hwy Suite 101 Grayson GA 30017-1617 Ph: (678) 225-4999 |
NPI Number | 1417903451 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
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1417903451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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