| Priorityhealthcarellc | |
|
1840 Old Norcross Rd Ste 200 Lawrenceville GA 30044-8803 | |
| (470) 650-4322 | |
| Not Available |
| Full Name | Priorityhealthcarellc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1840 Old Norcross Rd Ste 200, Lawrenceville, Georgia |
| Authorized Official Name and Position | Donnett Crumbie (CEO) |
| Authorized Official Contact | 4706504322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priorityhealthcarellc 232 Birchwood Dr Loganville GA 30052-3098 Ph: (678) 474-6842 | Priorityhealthcarellc 1840 Old Norcross Rd Ste 200 Lawrenceville GA 30044-8803 Ph: (470) 650-4322 |
| NPI Number | 1356012074 |
|---|---|
| Provider Enumeration Date | 09/22/2021 |
| Last Update Date | 09/22/2021 |
| Medicare PECOS PAC ID | 0042602633 |
|---|---|
| Medicare Enrollment ID | O20220111000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356012074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Donnett Crumbie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093114720 PECOS PAC ID: 3870817554 Enrollment ID: I20200429001904 |
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