| Centerwell Senior Primary Care-suwanee | |
|
3245 Lawrenceville Suwanee Rd # 100 Suwanee GA 30024-6541 | |
| (770) 341-9135 | |
| (770) 545-6599 |
| Full Name | Centerwell Senior Primary Care-suwanee |
|---|---|
| Speciality | Internal Medicine |
| Location | 3245 Lawrenceville Suwanee Rd # 100, Suwanee, Georgia |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-suwanee 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (407) 447-7120 | Centerwell Senior Primary Care-suwanee 3245 Lawrenceville Suwanee Rd # 100 Suwanee GA 30024-6541 Ph: (770) 341-9135 |
| NPI Number | 1154148526 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154148526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 208D00000X | General Practice | () | Secondary |
| 332900000X | Non-pharmacy Dispensing Site | () | Secondary |
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