Organization
LIFETIME FAMILY MEDICINE,LLC
Active
Other names
Lifetime Family Medicine LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA H MILES (PRACTICE MANAGER)
(770) 459-8449
Entity
Organization
Contact information
Practice address
7869 VILLA RICA HWY, DALLAS, GA 30157-8638
(770) 459-8449
Mailing address
7869 VILLA RICA HWY, DALLAS, GA 30157-8638
(770) 459-8449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
052082
GA
Other
Enumeration date
10/11/2007
Last updated
03/10/2023
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