MAMOKANT GOD FAVOR HEALTH CARE LLC

LAWRENCEVILLE, GA
NPI1336824077
Entity TypeOrganization
Authorized ContactMARIE JOSE ANTOINE
Owner
678-255-5917
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2023-06-20
Last Update Date2024-05-17
Business Address
MAMOKANT GOD FAVOR HEALTH CARE LLC
1018 RIVER FOREST PT
LAWRENCEVILLE, GA 30045-2600
Phone number: 941-237-8179
Mailing Address
MAMOKANT GOD FAVOR HEALTH CARE LLC
1018 RIVER FOREST PT
LAWRENCEVILLE, GA 30045-2600
Phone number:
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