Organization
JOHNS CREEK PRIMARY CARE PHYSICIANS LLC
Active
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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