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Organization
ZENIA 2 LLC
Active
Organization
ZENIA 2 LLC
Active
Other names
Brite Life Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DUROCHER (PARTNER)
(770) 214-4902
Entity
Organization
Contact information
Practice address
930 NEW HOPE RD STE 10, LAWRENCEVILLE, GA 30045-3837
(770) 214-4902
Mailing address
4300 IVY FORK DR, LOGANVILLE, GA 30052-5827
(678) 614-1814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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