Organization
M LYUBICH MD PC
Active
Organization
M LYUBICH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL LYUBICH MD (CEO)
(404) 523-1864
Entity
Organization
Contact information
Practice address
340 BOULEVARD NE, SUITE 324, ATLANTA, GA 30312-1283
(404) 523-1864
(404) 521-9261
Mailing address
PO BOX 3032, DULUTH, GA 30096-0052
(404) 523-1864
(404) 521-9261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000816263B
—
GA
Enumeration date
06/04/2007
Last updated
12/20/2012
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