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Organization

FAMILY MEDICAL CENTER OF NE GEORGIA,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE LECLAIRE (OFFICE MANAGER)
(770) 822-3031
Entity
Organization

Contact information

Practice address
555 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30045-8716
(770) 822-3031
(770) 822-3032
Mailing address
555 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30045-8716
(770) 822-3031
(770) 822-3032

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026300
GA
207R00000X
Internal Medicine Physician
026300
GA
208100000X
Physical Medicine & Rehabilitation Physician
026300
GA

Other

Enumeration date
03/26/2007
Last updated
09/11/2025
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