| Lifeline Medical Center, Llc | |
|
4158 Stone Mountain Hwy Ste B Lilburn GA 30047-3338 | |
| (770) 545-8332 | |
| (770) 545-8334 |
| Full Name | Lifeline Medical Center, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4158 Stone Mountain Hwy Ste B, Lilburn, Georgia |
| Authorized Official Name and Position | Safia A Pirani (OWNER) |
| Authorized Official Contact | 7703297650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Medical Center, Llc 4855 River Green Pkwy Ste 700 Duluth GA 30096-8337 Ph: (770) 545-8332 | Lifeline Medical Center, Llc 4158 Stone Mountain Hwy Ste B Lilburn GA 30047-3338 Ph: (770) 545-8332 |
| NPI Number | 1295539112 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295539112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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