NPI | 1497494314 |
---|---|
Doing Business As | LIFECYCLE HEALTHCARE |
Entity Type | Organization |
Authorized Contact | DEBBIE R BREWER Medical Director 678-266-7150 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2022-05-31 |
Last Update Date | 2022-05-31 |