| Mamokant God Favor Healthcare Llc | |
|
1018 River Forest Pt Lawrenceville GA 30045-2600 | |
| (941) 237-8179 | |
| Not Available |
| Full Name | Mamokant God Favor Healthcare Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1018 River Forest Pt, Lawrenceville, Georgia |
| Authorized Official Name and Position | Marie Jose Antoine (FOUNDER) |
| Authorized Official Contact | 9412378179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mamokant God Favor Healthcare Llc 1018 River Forest Pt Lawrenceville GA 30045-2600 Ph: () - | Mamokant God Favor Healthcare Llc 1018 River Forest Pt Lawrenceville GA 30045-2600 Ph: (941) 237-8179 |
| NPI Number | 1336824077 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336824077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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