Organization · NPI-2

Family Care Of Hillandale, P.C.

Family Medicine · Lithonia, GA

NPI number1043316391
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1043316391
Entity type
Organization (NPI-2)
Legal business name
Family Care Of Hillandale, P.C.
Organization subpart
No
Enumeration date
Sep 15, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine043236GAYes

Practice location

5910 Hillandale Dr
Suite 204
Lithonia, GA 30058-1884

Phone 770-981-2443 · Fax 770-981-2478

Mailing address

5910 Hillandale Dr
Suite 204
Lithonia, GA 30058-1884

Phone 770-981-2443 · Fax 770-981-2478

Authorized official

Arlene A Lewis
Medical Director
7709812443

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