# CHOICEMED INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669989422
- **Authorized official:** SHARON SELENA DUNCAN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (678) 656-7203

## Contact information

- **Practice address:** 3545 CRUSE RD STE 100, LAWRENCEVILLE, GA 30044-3169
- **Practice address phone:** (770) 544-8008
- **Practice address fax:** (770) 544-8271
- **Mailing address:** 3545 CRUSE RD STE 100, LAWRENCEVILLE, GA 30044-3169
- **Mailing address phone:** (770) 544-8008
- **Mailing address fax:** (770) 544-8271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 72065 | GA | Yes |

## Other

- **Enumeration date:** 01/02/2018
- **Last updated:** 01/02/2018