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Individual

MR. JOSE LEE BELANDRES BIRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3318
Mailing address
2536 CENTENNIAL COMMONS VW NW, ACWORTH, GA 30102-2169
(770) 596-1587

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN211598
GA

Other

Enumeration date
05/31/2013
Last updated
05/31/2013
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