Organization
LILBURN MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINSHENG WANG MD (OWENER)
(770) 880-5788
Entity
Organization
Contact information
Practice address
4705 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-3667
(770) 880-5788
(404) 481-2062
Mailing address
4705 LAWRENCEVILLE HWY NW, SUITE B, LILBURN, GA 30047-3667
(770) 880-5788
(404) 481-2062
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
15063657
GA
Other
Enumeration date
10/23/2016
Last updated
03/30/2017
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