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Lakeside Family Medicine
Primary Care Clinic/Center in Gainesville, Georgia
NPI 1720514029

Lakeside Family Medicine is a Primary Care Clinic/Center based in Gainesville, GA and is specialized in Primary Care. Lakeside Family Medicine practices in Gainesville, GA. The NPI Number for Lakeside Family Medicine is 1720514029 and holds a License No. F0514016 (Georgia).

The current practice location address for Lakeside Family Medicine is 104 Carrington Park Dr Ste B, Gainesville, GA and can be reached out via phone at 770-899-3773.

Location: 104 Carrington Park Dr Ste B, Gainesville, GA, 30504-6603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720514029
Provider Name
Lakeside Family Medicine
Credential
Provider Entity Type
Organization
Address
104 Carrington Park Dr Ste B, Gainesville, GA, 30504-6603
Phone Number
770-899-3773
Fax Number
Provider Enumeration Date
05/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 Carrington Park Dr Ste B
City
Gainesville
State
Georgia
Zip
30504-6603
Phone Number
770-899-3773
Fax Number
person
Provider Business Mailing Address Details
Address
104 Carrington Park Dr Ste B
City
Gainesville
State
Georgia
Zip
30504-6603
Phone Number
770-899-3773
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
F0514016 (Georgia)
Definition
Definition to come...
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