# LIFELINE PRIMARY CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFELINE PRIMARY CARE, INC
- **Other names:** Lifeline Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104292630
- **Legal business name:** LIFELINE PRIMARY CARE, INC
- **Authorized official:** MS. BRINA LYNN ROLISON (BUSINESS DEVELOPMENT)
- **Authorized official phone:** (678) 775-9344

## Contact information

- **Practice address:** 4855 RIVER GREEN PKWY, BUILDING 7, SUITE 700, DULUTH, GA 30096-8336
- **Practice address phone:** (678) 775-9344
- **Mailing address:** 4855 RIVER GREEN PKWY, BUILDING 7, SUITE 700, DULUTH, GA 30096-8336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 056624 | GA | Yes |

## Other

- **Enumeration date:** 08/19/2015
- **Last updated:** 08/08/2024