Organization
LIFETIME QUALITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER B BUTLER FNP (OWNER)
(706) 283-4690
Entity
Organization
Contact information
Practice address
4 MEDICAL DR, ELBERTON, GA 30635-1830
(706) 283-4690
(706) 283-4698
Mailing address
PO BOX 960, ELBERTON, GA 30635-0960
(706) 283-4690
(706) 283-4698
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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