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1346754041
PEACHSTATE FAMILY CLINIC, LLC
LILBURN, GA
NPI
1346754041
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Entity Type
Organization
Authorized Contact
CHANGCHUN WU
Physician
678-583-8888
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 061537)
Enumeration Date
2017-11-17
Last Update Date
2017-11-17
Business Address
PEACHSTATE FAMILY CLINIC, LLC
4319 LAWRENCEVILLE HWY NW
LILBURN, GA 30047-3416
Phone number: 678-583-8888
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Mailing Address
PEACHSTATE FAMILY CLINIC, LLC
4319 LAWRENCEVILLE HWY NW
LILBURN, GA 30047-3416
Phone number: 678-583-8888
Copy
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