GRUPO MEDICO DE GEORGIA LLC NPI 1639574890

NPI Information

GRUPO MEDICO DE GEORGIA, LLC is a family medicine in Norcross, 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. GRUPO MEDICO DE GEORGIA, LLC NPI is 1639574890. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5955 JIMMY CARTER BLVD
SUITE 100
NORCROSS, GA
ZIP 30071-641
Phone: (770) 559-3555

The provider's authorized official is Eddy Lajara .
The authorized official title is General Manager and has the following contact phone number (770) 831-9202.

The CLIA number assigned to this NPI record is 11D2095164 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2014 and was last updated on 1/25/2021.

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:

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