Organization
LAKESIDE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOROOGH NARMANI-MOHAMMADI DNP, FNP-C (FAMILY NURSE PRACTITIONER)
(770) 899-3773
Entity
Organization
Contact information
Practice address
104 CARRINGTON PARK DR STE B, GAINESVILLE, GA 30504-6603
(770) 899-3773
Mailing address
104 CARRINGTON PARK DR STE B, GAINESVILLE, GA 30504-6603
(770) 899-3773
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
F0514016
GA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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