Individual
LILIAN PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BETHESDA MEDICAL GROUP, LLC, 9280 HWY 5 - SUITE D, DOUGLASVILLE, GA 30134
(770) 328-6398
(404) 443-0690
Mailing address
9280 HIGHWAY 5 STE D, DOUGLASVILLE, GA 30134-1501
(770) 328-6398
(404) 443-0690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
264080
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN264080
GA
Other
Enumeration date
06/08/2020
Last updated
01/06/2023
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