NPI | 1104292630 |
---|---|
Doing Business As | LIFELINE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | BRINA LYNN ROLISON Business Development 678-775-9344 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 056624) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2024-08-08 |