| Suwanee Pediatrics Pc | |
|
1155 Lawrenceville Suwanee Rd Lawrenceville GA 30043-5425 | |
| (678) 442-0205 | |
| (678) 442-0185 |
| Full Name | Suwanee Pediatrics Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1155 Lawrenceville Suwanee Rd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Bolaji T Odusina (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6784420205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suwanee Pediatrics Pc 1155 Lawrenceville Suwanee Rd Lawrenceville GA 30043-5425 Ph: (678) 442-0205 | Suwanee Pediatrics Pc 1155 Lawrenceville Suwanee Rd Lawrenceville GA 30043-5425 Ph: (678) 442-0205 |
| NPI Number | 1487886123 |
|---|---|
| Provider Enumeration Date | 08/13/2009 |
| Last Update Date | 02/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487886123 | NPI | - | NPPES |
| 647974880B | Medicaid | GA | |
| 000757567B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 042380 (Georgia) | Primary |
Clinica Familiar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Grayson Hwy, Suite 216, Lawrenceville, GA 30045 Phone: 770-513-7711 Fax: 770-513-3352 | |
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 | |
Physicians Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 Fax: 770-277-9159 | |
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 | |
Metabolic Health Of Lawrenceville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 Old Snellville Hwy Ste 150, Lawrenceville, GA 30044 Phone: 678-431-1119 | |
Sugarloaf Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4835 Sugarloaf Pkwy, Suite 300, Lawrenceville, GA 30044 Phone: 407-375-5940 Fax: 407-375-5952 |