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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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