Organization
STARR'S MILL INTERNAL MEDICINE, LLC
Active
Organization
STARR'S MILL INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY F LAWSON M.D. (PRESIDENT)
(770) 631-2502
Entity
Organization
Contact information
Practice address
1330 HIGHWAY 74, MAY HOUSE, FAYETTEVILLE, GA 30215-2950
(770) 631-2502
(770) 631-2503
Mailing address
1330 HIGHWAY 74, MAY HOUSE, FAYETTEVILLE, GA 30215-2950
(770) 631-2502
(770) 631-2503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
GA
208000000X
Pediatrics Physician
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D0983347
CLIA #
GA
01
—
DC7883
RAILROAD MEDICARE GRP #
GA
Enumeration date
01/11/2007
Last updated
03/19/2010
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