Organization
GRAYSON PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PICKETT (VP)
(678) 762-5037
Entity
Organization
Contact information
Practice address
2594 LOGANVILLE HWY, SUITE 101, GRAYSON, GA 30017-1617
(678) 225-4999
(678) 225-5546
Mailing address
2594 LOGANVILLE HWY, SUITE 101, GRAYSON, GA 30017-1617
(678) 225-4999
(678) 225-5546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
04/20/2008
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