| Lady Of Mercy's Telehealth Services Llc | |
|
5101 Lealand Place Ln # 5101 Lawrenceville GA 30044-8305 | |
| (770) 256-3765 | |
| Not Available |
| Full Name | Lady Of Mercy's Telehealth Services Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5101 Lealand Place Ln # 5101, Lawrenceville, Georgia |
| Authorized Official Name and Position | Krystal K Predeoux (DIRECTOR) |
| Authorized Official Contact | 7702563765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lady Of Mercy's Telehealth Services Llc 5101 Lealand Place Ln # 5101 Lawrenceville GA 30044-8305 Ph: (770) 256-3765 | Lady Of Mercy's Telehealth Services Llc 5101 Lealand Place Ln # 5101 Lawrenceville GA 30044-8305 Ph: (770) 256-3765 |
| NPI Number | 1073307641 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073307641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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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 | |
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