| 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 | 2015-08-19 |