Organization · Type 2 NPI

Lifetime Family Medicine,llc

Family Medicine Physician · Dallas, GA

NPI number 1053509216 Active

Practice location

7869 Villa Rica Hwy
Dallas, GA 30157-8638

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Sleep Disorder Diagnostic Clinic/Center	261QS1200X	052082 (GA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in Dallas

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NPI record

NPI: 1053509216
Entity type: Organization (Type 2)
Issued: Oct 11, 2007
Last updated: Mar 10, 2023
Status: Active

Other names

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Lifetime Family Medicine LLC · doing business as
Lifetime Family Medicine LLC · doing business as

Authorized official

Mrs. Lisa H Miles
Practice Manager
(770) 459-8449

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053509216

Lifetime Family Medicine,llc's National Provider Identifier is 1053509216, issued on Oct 11, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Dallas, GA. The record was last updated on Mar 10, 2023.