| M Lyubich Md Pc | |
|
340 Boulevard Ne Suite 324 Atlanta GA 30312-1283 | |
| (404) 523-1864 | |
| (404) 521-9261 |
| Full Name | M Lyubich Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 340 Boulevard Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Mikhail Lyubich (CEO) |
| Authorized Official Contact | 4045231864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Lyubich Md Pc Po Box 3032 Duluth GA 30096-0052 Ph: (404) 523-1864 | M Lyubich Md Pc 340 Boulevard Ne Suite 324 Atlanta GA 30312-1283 Ph: (404) 523-1864 |
| NPI Number | 1215139977 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 12/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215139977 | NPI | - | NPPES |
| 000816263B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
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