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771 Old Norcross Rd Suite 255 Lawrenceville GA 30046-4386 | |
(770) 963-2967 | |
(770) 339-4585 |
Full Name | |
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Speciality | Family Medicine |
Location | 771 Old Norcross Rd, Lawrenceville, Georgia |
Authorized Official Name and Position | Kathy Bostock (PRACTICE MANAGER) |
Authorized Official Contact | 7709632967 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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771 Old Norcross Rd Suite 255 Lawrenceville GA 30046-4386 Ph: (770) 963-2967 | 771 Old Norcross Rd Suite 255 Lawrenceville GA 30046-4386 Ph: (770) 963-2967 |
NPI Number | 1558402735 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 06/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558402735 | NPI | - | NPPES |
CG0905 | Other | GA | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 | |
Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
Metabolic Health Of Lawrenceville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 Old Snellville Hwy Ste 150, Lawrenceville, GA 30044 Phone: 678-431-1119 | |