Choicemed INC
Family Medicine in Lawrenceville, GA. Organization (NPI-2).
NPI number1669989422
StatusActive
Last updated in NPPESJan 2, 2018
Details
- NPI
- 1669989422
- Entity type
- Organization (NPI-2)
- Legal business name
- Choicemed INC
- Organization subpart
- No
- Enumeration date
- Jan 2, 2018
- Last updated
- Jan 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 72065 | GA | Yes |
Practice location
3545 Cruse Rd Ste 100Lawrenceville, GA 30044-3169
Phone 770-544-8008 · Fax 770-544-8271
Mailing address
3545 Cruse Rd Ste 100Lawrenceville, GA 30044-3169
Phone 770-544-8008 · Fax 770-544-8271
Authorized official
Sharon Selena Duncan
Credentialing Specialist
6786567203
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