| Lifepointe Medical Providers Llc | |
|
212 Ga Highway 49 N Ste 900 Byron GA 31008-4064 | |
| (478) 956-5433 | |
| (478) 956-1818 |
| Full Name | Lifepointe Medical Providers Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 212 Ga Highway 49 N Ste 900, Byron, Georgia |
| Authorized Official Name and Position | Alan Justice (OWNER) |
| Authorized Official Contact | 4789559402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifepointe Medical Providers Llc 212 Ga Highway 49 N Ste 900 Byron GA 31008-4064 Ph: (478) 956-5433 | Lifepointe Medical Providers Llc 212 Ga Highway 49 N Ste 900 Byron GA 31008-4064 Ph: (478) 956-5433 |
| NPI Number | 1679703896 |
|---|---|
| Provider Enumeration Date | 07/22/2009 |
| Last Update Date | 07/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679703896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 025297 (Georgia) | Primary |
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