Organization
BARRY MEDICAL CLINIC
Active
Parent organization
K LOOR MEDICAL LLC
Other names
BARRY MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
K LOOR MEDICAL LLC
Authorized official
JEFFREY DONOHUE MD (MEDICAL DIRECTOR)
(678) 880-9990
Entity
Organization
Contact information
Practice address
4030 LAWRENCEVILLE HWY NW STE 9, LILBURN, GA 30047-2823
(678) 880-9990
(678) 880-8834
Mailing address
1825 MOUNTAIN LAKE DR NW, KENNESAW, GA 30152-7734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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