| Clinica Familiar | |
|
706 Grayson Hwy Suite 216 Lawrenceville GA 30045-5736 | |
| (770) 513-7711 | |
| (770) 513-3352 |
| Full Name | Clinica Familiar |
|---|---|
| Speciality | Family Medicine |
| Location | 706 Grayson Hwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Noemi A Carcar (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7705137711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Familiar 706 Grayson Hwy Suite 216 Lawrenceville GA 30045-5736 Ph: (770) 513-7711 | Clinica Familiar 706 Grayson Hwy Suite 216 Lawrenceville GA 30045-5736 Ph: (770) 513-7711 |
| NPI Number | 1003082223 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003082223 | NPI | - | NPPES |
| 822786679C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 041526 (Georgia) | Primary |
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› Verified 6 days ago
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