# LANIER HEALTH LINK

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

## Provider details

- **NPI number:** 1790598431
- **Authorized official:** NIKOVA MASON MD (OWNER)
- **Authorized official phone:** (404) 353-5902

## Contact information

- **Practice address:** 131 WOODLAKE DR, GAINESVILLE, GA 30506-1701
- **Practice address phone:** (404) 353-5902
- **Mailing address:** 131 WOODLAKE DR, GAINESVILLE, GA 30506-1701

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2025
- **Last updated:** 01/28/2025