Organization
FAMILY PRACTICE IMMEDIATE CARE ASSOCIATE LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET BLANCHE LYONS FNP (OWNER)
(678) 558-2638
Entity
Organization
Contact information
Practice address
3812 SALEM RD, COVINGTON, GA 30016-4528
(678) 625-5431
(678) 625-5455
Mailing address
3812 SALEM RD, COVINGTON, GA 30016-4528
(678) 625-5431
(678) 625-5455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
03/19/2025
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