Organization
EVANS MILL FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURUSHOTTAM KUMAR GARG M.D. (OWNER)
(850) 995-8811
Entity
Organization
Contact information
Practice address
2724 EVANS MILL RD, LITHONIA, GA 30058-7417
(770) 484-7172
Mailing address
2724 EVANS MILL RD, LITHONIA, GA 30058-7417
(770) 484-7172
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
63421
GA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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