institution
Lifeline Primary Care, Inc
Primary Care Clinic/Center in Lilburn, Georgia
NPI 1639426984

Lifeline Primary Care, Inc is a Primary Care Clinic/Center based in Lilburn, GA and is specialized in Primary Care. Lifeline Primary Care, Inc practices in Lilburn, GA. The NPI Number for Lifeline Primary Care, Inc is 1639426984 and holds a License No. 61934 (Georgia).

The current practice location address for Lifeline Primary Care, Inc is 4025 Lawrenceville Hwy Nw Ste A, Lilburn, GA and can be reached out via phone at 770-559-3501 and via fax at 770-696-9078.

Location: 4025 Lawrenceville Hwy Nw Ste A, Lilburn, GA, 30047-2876
institution
Provider Profile Details
NPI Number
1639426984
Provider Name
Lifeline Primary Care, Inc
Credential
Provider Entity Type
Organization
Address
4025 Lawrenceville Hwy Nw Ste A, Lilburn, GA, 30047-2876
Phone Number
770-559-3501
Fax Number
770-696-9078
Provider Enumeration Date
08/06/2012
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790922096 01 GA NPI
institution
Provider Business Practice Location Address Details
Address
4025 Lawrenceville Hwy Nw Ste A
City
State
Zip
30047-2876
Phone Number
770-559-3501
Fax Number
770-696-9078
person
Provider Business Mailing Address Details
Address
4025 Lawrenceville Hwy Nw Ste A
City
State
Zip
30047-2876
Phone Number
770-559-3501
Fax Number
770-696-9078
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
61934 (Georgia)
Definition
Definition to come...
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