Organization · Type 2 NPI
Lakeside Family Medicine
Primary Care Clinic/Center · Gainesville, GA
NPI number
1720514029
Active
Practice location
104 Carrington Park Dr Ste B
Gainesville, GA 30504-6603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | F0514016 (GA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1720514029
Lakeside Family Medicine's National Provider Identifier is 1720514029, issued on May 4, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Gainesville, GA. The record was last updated on May 4, 2017.