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LIFETIME FAMILY MEDICINE LLC NPI 1053509216


NPI Information

NPI: 1053509216
Provider Name: LIFETIME FAMILY MEDICINE LLC

Doing Business As: LIFETIME FAMILY MEDICINE LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D1076786

Address:
7869 VILLA RICA HWY
DALLAS, GA
ZIP 30157
Phone: (770) 459-8449
Get Directions

LIFETIME FAMILY MEDICINE LLC is a family medicine in Dallas, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LIFETIME FAMILY MEDICINE LLC NPI is 1053509216. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifetime Family Medicine Llc.

The provider's business location address is:

7869 VILLA RICA HWY
DALLAS, GA
ZIP 30157-638
Phone: (770) 459-8449

The provider's authorized official is Lisa H Miles .
The authorized official title is Practice Manager and has the following contact phone number (770) 459-8449.

The CLIA number assigned to this NPI record is 11D1076786 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 12/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS1200XClinic/CenterSleep Disorder Diagnostic052082GEORGIANo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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