| Lotus Primary Care, Pc | |
|
1670 Buford Hwy Cumming GA 30041-6585 | |
| (470) 239-8005 | |
| (949) 543-2365 |
| Full Name | Lotus Primary Care, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1670 Buford Hwy, Cumming, Georgia |
| Authorized Official Name and Position | Shravantika Baimeedi Reddy (CEO) |
| Authorized Official Contact | 4702398005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Primary Care, Pc 1670 Buford Hwy Cumming GA 30041-6585 Ph: (470) 239-8005 | Lotus Primary Care, Pc 1670 Buford Hwy Cumming GA 30041-6585 Ph: (470) 239-8005 |
| NPI Number | 1518459940 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518459940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 066310 (Georgia) | Primary |
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