# LIFELINE MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFELINE MEDICAL CENTER, LLC
- **Other names:** Lifeline Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629474796
- **Legal business name:** LIFELINE MEDICAL CENTER, LLC
- **Authorized official:** SAFIA PIRANI MD (PHYSICIAN)
- **Authorized official phone:** (470) 355-7896

## Contact information

- **Practice address:** 3660 MARKET ST, CLARKSTON, GA 30021-1246
- **Practice address phone:** (470) 355-7896
- **Mailing address:** 3660 MARKET ST, CLARKSTON, GA 30021-1246
- **Mailing address phone:** (470) 355-7896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2014
- **Last updated:** 11/17/2014