LAKESIDE FAMILY MEDICINE is a primary care clinic center in Gainesville, GA. LAKESIDE FAMILY MEDICINE NPI is 1720514029. The provider is registered as an organization entity type.
The provider's business location address is:
104 CARRINGTON PARK DR STE B
GAINESVILLE, GA
ZIP 30504-603
Phone: (770) 899-3773
The provider's authorized official is Foroogh Narmani-mohammadi .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (770) 899-3773.
The CLIA number assigned to this NPI record is 11D2135806 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/4/2017 and was last updated on 5/4/2017.