Organization
LIFECYCLE PRIMARY HEALTHCARE CENTER PC
Active
Other names
Lifecycle Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBBIE R BREWER MD (MEDICAL DIRECTOR)
(678) 266-7150
Entity
Organization
Contact information
Practice address
6853 DOUGLAS BLVD STE C, DOUGLASVILLE, GA 30135-7179
(678) 266-7150
(678) 336-1694
Mailing address
4529 CABINWOOD TURN, DOUGLASVILLE, GA 30135-1959
(404) 587-6038
(678) 336-1694
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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