| Illuminate Medical Llc | |
|
5257 Bowman Springs Trl Flowery Branch GA 30542-5193 | |
| (470) 846-3790 | |
| Not Available |
| Full Name | Illuminate Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 5257 Bowman Springs Trl, Flowery Branch, Georgia |
| Authorized Official Name and Position | Seth M Illu (PRESIDENT) |
| Authorized Official Contact | 4708463790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminate Medical Llc 5257 Bowman Springs Trl Flowery Branch GA 30542-5193 Ph: (470) 846-3790 | Illuminate Medical Llc 5257 Bowman Springs Trl Flowery Branch GA 30542-5193 Ph: (470) 846-3790 |
| NPI Number | 1831928126 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831928126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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