Organization
GWINNETT COUNTY HEALTH DEPT
Active
Other names
LILBURN WIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA HUDSON (BILLING SUPERVISOR)
(678) 442-6884
Entity
Organization
Contact information
Practice address
5342 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-5952
(678) 924-1546
Mailing address
2570 RIVERSIDE PKWY, P O BOX 897, LAWRENCEVILLE, GA 30046-3339
(770) 339-4260
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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