# LIFEBRITE PHYSICIAN GROUP LLC

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

## Provider details

- **NPI number:** 1740751221
- **Authorized official:** MR. CHRISTIAN FLETCHER (CEO)
- **Authorized official phone:** (855) 359-8629

## Contact information

- **Practice address:** 3970 FIVE FORKS TRICKUM RD SW STE A, LILBURN, GA 30047-2339
- **Practice address phone:** (855) 359-8629
- **Practice address fax:** (678) 310-1355
- **Mailing address:** 3970 FIVE FORKS TRICKUM RD SW STE A, LILBURN, GA 30047-2339
- **Mailing address phone:** (855) 359-8629
- **Mailing address fax:** (678) 310-1355

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2018
- **Last updated:** 12/10/2018