| Lifeline Primary Care, Inc | |
|
4355 Johns Creek Pkwy Ste 500 Suwanee GA 30024-9100 | |
| (770) 559-3501 | |
| (678) 868-1100 |
| Full Name | Lifeline Primary Care, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4355 Johns Creek Pkwy Ste 500, Suwanee, Georgia |
| Authorized Official Name and Position | Aziz A Pirani (OWNER / PHYSICIAN) |
| Authorized Official Contact | 7705593501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Primary Care, Inc 4025 Lawrenceville Hwy Nw Ste A Lilburn GA 30047-2876 Ph: (770) 559-3501 | Lifeline Primary Care, Inc 4355 Johns Creek Pkwy Ste 500 Suwanee GA 30024-9100 Ph: (770) 559-3501 |
| NPI Number | 1770313264 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770313264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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