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696 Grayson Hwy Lawrenceville GA 30046-6372 | |
(770) 963-0927 | |
(770) 963-9772 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 696 Grayson Hwy, Lawrenceville, Georgia |
Authorized Official Name and Position | Zobair Nagamia (CHIEF OF OPERATIONS) |
Authorized Official Contact | 7709630927 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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540 E Crossville Rd Roswell GA 30075-7661 Ph: (770) 510-1850 | 696 Grayson Hwy Lawrenceville GA 30046-6372 Ph: (770) 963-0927 |
NPI Number | 1073993655 |
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Provider Enumeration Date | 06/09/2015 |
Last Update Date | 06/09/2015 |
Identifier | Type | State | Issuer |
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1073993655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 | |
Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
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