COVENANT FAMILY MEDICINE GMG LLC

DACULA, GA
NPI1346595204
Entity TypeOrganization
Authorized ContactSTEVEN A RUBIN
Executive Director
470-325-0150
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2012-07-17
Last Update Date2013-08-23
Business Address
COVENANT FAMILY MEDICINE GMG LLC
2098 TERON TRCE SUITE 150
DACULA, GA 30019-1663
Phone number: 678-730-1620
Mailing Address
COVENANT FAMILY MEDICINE GMG LLC
2069 TERON TRCE SUITE 100
DACULA, GA 30019-1665
Phone number: 678-730-1620
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