Organization
GRUPO MEDICO DE GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY LAJARA (GENERAL MANAGER)
(770) 831-9202
Entity
Organization
Contact information
Practice address
5955 JIMMY CARTER BLVD, SUITE 100, NORCROSS, GA 30071-4641
(770) 559-3555
Mailing address
4225 S LEE ST STE B, BUFORD, GA 30518-3658
(770) 831-9202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR008572
GA
207Q00000X
Family Medicine Physician
Primary
38981
GA
363L00000X
Nurse Practitioner
RN105078
GA
Other
Enumeration date
10/30/2014
Last updated
12/03/2025
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