| Pristine Healthcare | |
|
1037 Pearl Mist Dr Sw Lilburn GA 30047-5496 | |
| (678) 670-6697 | |
| Not Available |
| Full Name | Pristine Healthcare |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 1037 Pearl Mist Dr Sw, Lilburn, Georgia |
| Authorized Official Name and Position | Sana Chunara (CEO) |
| Authorized Official Contact | 6786706697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pristine Healthcare 1037 Pearl Mist Dr Sw Lilburn GA 30047-5496 Ph: () - | Pristine Healthcare 1037 Pearl Mist Dr Sw Lilburn GA 30047-5496 Ph: (678) 670-6697 |
| NPI Number | 1982488508 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982488508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
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