| NPI | 1053509216 |
|---|---|
| Doing Business As | LIFETIME FAMILY MEDICINE LLC |
| Entity Type | Organization |
| Authorized Contact | LISA H MILES Practice Manager 770-459-8449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: GA 052082) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2023-03-10 |