Illuminate Medical Llc | |
5257 Bowman Springs Trl Flowery Branch GA 30542-5193 | |
(470) 846-3790 | |
Not Available |
Full Name | Illuminate Medical Llc |
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Speciality | General Practice |
Location | 5257 Bowman Springs Trl, Flowery Branch, Georgia |
Authorized Official Name and Position | Seth M Illu (PRESIDENT) |
Authorized Official Contact | 4708463790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Illuminate Medical Llc 5257 Bowman Springs Trl Flowery Branch GA 30542-5193 Ph: (470) 846-3790 | Illuminate Medical Llc 5257 Bowman Springs Trl Flowery Branch GA 30542-5193 Ph: (470) 846-3790 |
NPI Number | 1831928126 |
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Provider Enumeration Date | 07/26/2024 |
Last Update Date | 07/26/2024 |
Identifier | Type | State | Issuer |
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1831928126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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