Zenia 2 Llc | |
930 New Hope Rd Ste 10 Lawrenceville GA 30045-3837 | |
(770) 214-4902 | |
Not Available |
Full Name | Zenia 2 Llc |
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Speciality | Family Medicine |
Location | 930 New Hope Rd Ste 10, Lawrenceville, Georgia |
Authorized Official Name and Position | Steven Durocher (PARTNER) |
Authorized Official Contact | 7702144902 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Zenia 2 Llc 4300 Ivy Fork Dr Loganville GA 30052-5827 Ph: (678) 614-1814 | Zenia 2 Llc 930 New Hope Rd Ste 10 Lawrenceville GA 30045-3837 Ph: (770) 214-4902 |
NPI Number | 1245701184 |
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Provider Enumeration Date | 12/17/2018 |
Last Update Date | 12/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245701184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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