| Samuel Deutsch Md Pc | |
|
316 W Pike St Ste 100 Lawrenceville GA 30045-4878 | |
| (770) 682-8442 | |
| (770) 682-8200 |
| Full Name | Samuel Deutsch Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 316 W Pike St Ste 100, Lawrenceville, Georgia |
| Authorized Official Name and Position | Samuel Deutsch (OWNER) |
| Authorized Official Contact | 7706828442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Deutsch Md Pc 316 W Pike St Ste 100 Lawrenceville GA 30045-4878 Ph: (770) 682-8442 | Samuel Deutsch Md Pc 316 W Pike St Ste 100 Lawrenceville GA 30045-4878 Ph: (770) 682-8442 |
| NPI Number | 1376704106 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376704106 | NPI | - | NPPES |
| 000554144A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036133 (Georgia) | Primary |
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