Organization · Type 2 NPI

BCGP

Specialist · Lilburn, GA

NPI number 1619003902 Active

Practice location

976 Killian Hill Rd SW, Building A, Suite B
Lilburn, GA 30047-3102

Call (770) 923-6400 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X052456 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1619003902

BCGP's National Provider Identifier is 1619003902, issued on Feb 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lilburn, GA. The record was last updated on Aug 22, 2020.