Organization
JOHNS CREEK PRIMARY CARE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE EDWARD HERMAN MD (LH MEMBER)
(678) 957-1910
Entity
Organization
Contact information
Practice address
4365 JOHNS CREEK PARKWAY, SUITE 400, SUWANEE, GA 30024
(678) 957-1910
(678) 957-1911
Mailing address
4365 JOHNS CREEK PARKWAY, SUITE 400, SUWANEE, GA 30024
(678) 957-1910
(678) 957-1911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043644
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6354
MEDICARE PTAN
GA
Enumeration date
01/31/2007
Last updated
07/20/2015
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