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Individual

JOHN LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
2200 MEDICAL CENTER BLVD STE 350, LAWRENCEVILLE, GA 30046-7768
(678) 312-2700
(678) 312-2730
Mailing address
2200 MEDICAL CENTER BLVD STE 350, LAWRENCEVILLE, GA 30046-7768
(678) 312-2700
(678) 312-2730

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11945
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/02/2021
Last updated
04/01/2026
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