Individual
DR. YURI B. PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 WALTHER RD, LAWRENCEVILLE, GA 30046-8725
(770) 962-0399
(770) 995-0533
Mailing address
755 WALTHER RD, LAWRENCEVILLE, GA 30046-8725
(770) 962-0399
(770) 995-0533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
228246
MA
207RC0000X
Cardiovascular Disease Physician
069617
GA
207RI0011X
Interventional Cardiology Physician
Primary
069617
GA
Other
Enumeration date
05/19/2008
Last updated
11/14/2017
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