Organization · Type 2 NPI
Lifeline Primary Care, Inc
Primary Care Clinic/Center · Suwanee, GA
NPI number
1770313264
Active
Practice location
4355 Johns Creek Pkwy Ste 500
Suwanee, GA 30024-9100
Fax (678) 868-1100
Mailing address
4025 Lawrenceville Hwy NW Ste A
Lilburn, GA 30047-2876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1770313264
Lifeline Primary Care, Inc's National Provider Identifier is 1770313264, issued on Aug 7, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Suwanee, GA. The record was last updated on Aug 8, 2024.