Organization
OLAN COMPREHENSIVE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREE NECOLE MATTHEWS (BILLING MANAGER)
(678) 613-2971
Entity
Organization
Contact information
Practice address
2169 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-7710
(770) 962-3700
(770) 962-8063
Mailing address
2169 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-7710
(770) 962-3700
(770) 962-8063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53032
GA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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