| Lifeline Primary Care | |
|
4855 River Green Pkwy Building 7, Suite 700 Duluth GA 30096-8336 | |
| (678) 775-9344 | |
| Not Available |
| Full Name | Lifeline Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 4855 River Green Pkwy, Duluth, Georgia |
| Authorized Official Name and Position | Brina Lynn Rolison (BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 6787759344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Primary Care 4855 River Green Pkwy Building 7, Suite 700 Duluth GA 30096-8336 Ph: () - | Lifeline Primary Care 4855 River Green Pkwy Building 7, Suite 700 Duluth GA 30096-8336 Ph: (678) 775-9344 |
| NPI Number | 1104292630 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104292630 | NPI | - | NPPES |
| 267992339B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056624 (Georgia) | Primary |
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