Organization
GEORGIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED A ALI (PRACTICE MANAGER)
(770) 910-2377
Entity
Organization
Contact information
Practice address
3945 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-2817
(678) 380-8353
Mailing address
3945 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-2817
(678) 380-8353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52073
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189134074B
—
GA
Enumeration date
10/10/2007
Last updated
02/27/2012
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