Organization
HARMONIC CODE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY R DIAMOND (OWNER)
(833) 221-2006
Entity
Organization
Contact information
Practice address
2863 FRANKLIN RD, LAWRENCEVILLE, GA 30044-5769
(833) 221-2006
Mailing address
2863 FRANKLIN RD, LAWRENCEVILLE, GA 30044-5769
(833) 221-2006
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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