Organization · Type 2 NPI
Jubilee Primary Care PC
Addiction Medicine (Family Medicine) Physician · Suwanee, GA
NPI number
1891393005
Active
Practice location
3312 Heathchase Ln
Suwanee, GA 30024-4639
Fax (678) 940-0509
Mailing address
2090 Lawrenceville Suwanee Rd, Suite A#519
Suwanee, GA 30024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
2 other providers at this address
About NPI 1891393005
Jubilee Primary Care PC's National Provider Identifier is 1891393005, issued on Oct 12, 2020. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Suwanee, GA. The record was last updated on Oct 30, 2020.