Lifebrite Physician Group Llc | |
3970 Five Forks Trickum Rd Sw Ste A Lilburn GA 30047-2339 | |
(855) 359-8629 | |
(678) 310-1355 |
Full Name | Lifebrite Physician Group Llc |
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Speciality | Family Medicine |
Location | 3970 Five Forks Trickum Rd Sw Ste A, Lilburn, Georgia |
Authorized Official Name and Position | Christian Fletcher (CEO) |
Authorized Official Contact | 8553598629 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifebrite Physician Group Llc 3970 Five Forks Trickum Rd Sw Ste A Lilburn GA 30047-2339 Ph: (855) 359-8629 | Lifebrite Physician Group Llc 3970 Five Forks Trickum Rd Sw Ste A Lilburn GA 30047-2339 Ph: (855) 359-8629 |
NPI Number | 1740751221 |
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Provider Enumeration Date | 12/10/2018 |
Last Update Date | 12/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740751221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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