Organization
CHOICEMED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SELENA DUNCAN (CREDENTIALING SPECIALIST)
(678) 656-7203
Entity
Organization
Contact information
Practice address
3545 CRUSE RD STE 100, LAWRENCEVILLE, GA 30044-3169
(770) 544-8008
(770) 544-8271
Mailing address
3545 CRUSE RD STE 100, LAWRENCEVILLE, GA 30044-3169
(770) 544-8008
(770) 544-8271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72065
GA
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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