Organization
AVITA MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JHONJERLYN MORALES (PRACTICE MANAGER)
(305) 733-9554
Entity
Organization
Contact information
Practice address
3525 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30044-5403
(305) 927-9101
Mailing address
3662 HUDDLESTONE LN, BUFORD, GA 30519-4650
(305) 733-9554
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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