# ABUNDANT LIFE HEALTHCARE

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

## Provider details

- **NPI number:** 1679875173
- **Authorized official:** DR. MARC JEAN-GILLES DO (DIRECTOR)
- **Authorized official phone:** (516) 473-6846

## Contact information

- **Practice address:** 601 A PROFESSIONAL DR STE 370, LAWRENCEVILLE, GA 30046-7670
- **Practice address phone:** (678) 869-5145
- **Practice address fax:** (877) 835-9692
- **Mailing address:** 601 A PROFESSIONAL DR SUITE 370, LAWRENCEVILLE, GA 30046-7670
- **Mailing address phone:** (678) 869-5145
- **Mailing address fax:** (877) 835-9692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2010
- **Last updated:** 06/27/2025